A Wildwood Recovery

NPI 1144517723 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1144517723
Enumeration Date 07/05/2011
Last Updated 06/20/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name WALTER WALTER
Position PRESIDENT
Phone (805) 493-5741
Fax (805) 493-5047
Practice Location
360 CAMINO DE CELESTE
THOUSAND OAKS CA, 91360-7124, US
Phone (805) 493-5741
Fax (805) 493-5047
Business Location
360 CAMINO DE CELESTE
THOUSAND OAKS CA, 91360-7124, US
Phone (805) 493-5741
Fax (805) 493-5047
Toxanomy
Taxonomy Code 324500000X
License State California
License Number 560040AP
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According to our database, A Wildwood Recovery NPI is 1144517723, taxonomy code is 324500000X and license number is 560040AP, license state is located at California. A Wildwood Recovery physically located at 360 Camino De Celeste, Thousand Oaks CA, 91360-7124. NPI Number 1033115704 has the healthcare provider type.

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1144517723 NPI number is provided on an as is basis without warranty of any kind. 1144517723 is maintained by the National Plan & Provider Enumeration System. The contents of A Wildwood Recovery are for informational purposes only.