A Wildwood Recovery Iop
NPI #1306323639 in Thousand Oaks, California
Provider Information
- NPI Number
- 1306323639
- Entity Type
- Organization
- Organization Name
- A Wildwood Recovery Iop
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- A WILDWOOD RECOVERY
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Jul 19, 2018
- Last Updated
- Jul 19, 2018
Practice Location
- Address
- 166 N. MOORPARK RD
- Address 2
- SUITE 304
- City
- Thousand Oaks
- State
- California
- ZIP Code
- 91360
- Phone
- (805) 497-1900
Authorized Official
- Name
- MS. SHANNON SIAOTONG
- Title
- FACILITY ADMINISTRATOR
- Phone
- (805) 493-5741
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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