Captive Hearts
NPI #1457975351 in Grover Beach, California
Provider Information
- NPI Number
- 1457975351
- Entity Type
- Organization
- Organization Name
- Captive Hearts
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jun 5, 2020
- Last Updated
- Jun 17, 2020
Practice Location
- Address
- 882 W GRAND AVE
- City
- Grover Beach
- State
- California
- ZIP Code
- 93433-2134
- Phone
- (805) 481-4500
Authorized Official
- Name
- ELISSA ROSE GOODENOUGH
- Title
- BOARD MEMBER/ EMPLOYEE
- Phone
- (805) 602-8751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Driver |
| Psychologist - Rehabilitation — Rehabilitation |
| Counselor - Professional — Professional |
| Counselor - Mental Health — Mental Health |
| Counselor - Pastoral — Pastoral |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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