Healthcare Provider Details

I. General information

NPI: 1184998973
Provider Name (Legal Business Name): VENTURA COUNTY BEHAVIORAL HEALTH ALCOHOL & DRUG PROGRAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2012
Last Update Date: 09/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 N CATALINA ST
VENTURA CA
93001-2475
US

IV. Provider business mailing address

1911 WILLIAMS DR 210 - BILLING OFFICE
OXNARD CA
93036-2612
US

V. Phone/Fax

Practice location:
  • Phone: 805-652-6919
  • Fax:
Mailing address:
  • Phone: 805-981-5455
  • Fax: 805-973-5187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NARCISA EGAN
Title or Position: CFO
Credential:
Phone: 805-677-5140