MEDICARE: UNITED PARENTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1982814562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED PARENTS

Provider Business Mailing Address
First Line	:	333 N LANTANA ST STE 259
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93010-9008
Country	:	US
Telephone Number	:	805-384-1555
Fax Number	:	805-384-1080

Provider Business Practice Location Address
First Line	:	333 N LANTANA ST STE 259
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93010-9008
Country	:	US
Telephone Number	:	805-384-1555
Fax Number	:	805-384-1080

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MELISSA M HANNAH
Credential	:
Telephone Number	:	805-384-1555

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	05/03/2024

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Directions to “UNITED PARENTS ” Practice Location

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