Provider Demographics
NPI:1851539290
Name:COUNTY OF VENTURA-HCA-BH-ADP OXNARD CENTER
Entity Type:Organization
Organization Name:COUNTY OF VENTURA-HCA-BH-ADP OXNARD CENTER
Other - Org Name:GATEWAY COMMUNITY SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:BEHAVIORAL HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELONEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-981-2214
Mailing Address - Street 1:1911 WILLIAMS DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-2612
Mailing Address - Country:US
Mailing Address - Phone:805-981-9214
Mailing Address - Fax:
Practice Address - Street 1:200 HORIZON WAY
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-8596
Practice Address - Country:US
Practice Address - Phone:805-981-9214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VENTURA COUNTH HEALTH CARE AGENCY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5657OtherDRUG MEDICAL NUMBER