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General NPI Number Information
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NPI Number | 1922145499
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Entity Type | Organization
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Legal Business Name | VENTURA RECOVERY CENTER, INC.
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 166 SIESTA AVE
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1816
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Country | US
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Telephone | 805-499-8383
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Fax | 805-374-1912
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Provider Business Mailing Address
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Address Line | 166 SIESTA AVE
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1816
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Country | US
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Telephone | 805-499-8383
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Fax | 805-374-1912
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Authorized Official
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Title or Position | MANAGER
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Name | MICHELLE JOHNS
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Credential |
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Telephone | 815-919-0595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 560041AP
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License Number State | CA
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