Individual provider · Type 1 NPI
Tyler Bowman
Substance Abuse Rehabilitation Facility · Ventura, CA
NPI number
1003579657
Active
Practice location
1445 Donlon St Ste 15
Ventura, CA 93003-5640
Mailing address
2759 Sailor Ave
Ventura, CA 93001-4159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
2 other providers at this address
About NPI 1003579657
Tyler Bowman's National Provider Identifier is 1003579657, issued on Oct 20, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Ventura, CA. The record was last updated on Oct 20, 2021.