Organization · Type 2 NPI

Pdap of Ventura County, Inc.

Community/Behavioral Health Agency · Moorpark, CA

NPI number 1790081966 Active

Practice location

12039 Hertz Street
Moorpark, CA 93021

Call (805) 482-1265 Map

Fax (805) 389-5295

Mailing address

450 Rosewood Ave
Camarillo, CA 93010-5914

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	560015BN (CA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1790081966
Entity type: Organization (Type 2)
Issued: Feb 4, 2011
Last updated: Feb 4, 2011
Status: Active
Subpart: Yes of Pdap of Ventura County, Inc.

Other names

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Palmer Drug Abuse Program · other name

Authorized official

Virginia M. Connell, LMFT
Executive Director
(805) 482-1265

Verify this record

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 1790081966

Pdap of Ventura County, Inc.'s National Provider Identifier is 1790081966, issued on Feb 4, 2011. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Moorpark, CA. The record was last updated on Feb 4, 2011.