Derek Mohammad Mccrary, B.A.

NPI #1710287446 in Oxnard, California

Provider Information

NPI Number
1710287446
Entity Type
Individual
Name
Derek Mohammad Mccrary, B.A.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Credential
B.A.
Enumeration Date
Oct 28, 2010
Last Updated
Oct 28, 2010

Practice Location

Address
627 RICHMOND AVE
City
Oxnard
ZIP Code
93030
Phone
(805) 285-2099

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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