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1508315250
CHANING TIDES TREATMENT
VENTURA, CA
NPI
1508315250
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Entity Type
Organization
Authorized Contact
ANGELA IACULLO
Billing
954-415-8781
Organization Subpart ?
No
Primary Taxonomy
207QA0401X Family Medicine Addiction Medicine
Enumeration Date
2016-09-22
Last Update Date
2016-09-22
Business Address
CHANING TIDES TREATMENT
2021 SPERRY AVE SUITE 18
VENTURA, CA 93003-7408
Phone number: 844-883-3869
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Mailing Address
CHANING TIDES TREATMENT
2021 SPERRY AVE SUITE 18
VENTURA, CA 93003-7408
Phone number:
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