Organization · Type 2 NPI

Good Samaritan Shelter

Substance Abuse Rehabilitation Facility · Santa Maria, CA

NPI number 1487166120 Active

Practice location

412 East Tunnell Street
Santa Maria, CA 93454

Fax (866) 594-7933

Specialties and licenses

Taxonomy	Code	License
Addiction Medicine (Family Medicine) Physician	207QA0401X	None listed
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.

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NPI record

NPI: 1487166120
Entity type: Organization (Type 2)
Issued: Nov 3, 2017
Last updated: Nov 13, 2019
Status: Active
Subpart: Yes of Good Samaritan Shelter

Other names

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Transitional Center for Women and Children · doing business as

Authorized official

Mrs. Donna Michell Flores, CADTP/CAODC
Director of Treatment
(805) 266-3747

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1487166120

Good Samaritan Shelter's National Provider Identifier is 1487166120, issued on Nov 3, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Santa Maria, CA. The record was last updated on Nov 13, 2019.