Organization · Type 2 NPI

Changing Tides Treatment LLC

Substance Use Disorder Rehabilitation Clinic/Center · Ventura, CA

NPI number 1053701425 Active

Practice location

2021 Sperry Ave, Suite 3
Ventura, CA 93003-7408

Call (844) 883-3869 Map

Mailing address

5301 Seabreeze Way
Oxnard, CA 93035-1048

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Case Management Agency 251B00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

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About NPI 1053701425

Changing Tides Treatment LLC's National Provider Identifier is 1053701425, issued on Jan 23, 2015. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Ventura, CA. The record was last updated on Jan 23, 2015.