Organization Name: | MOUNTAIN OAK COMPREHENSIVE CARE P.C. |
NPI Number: | 1992098628 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBECCA A. POWERS (PRESIDENT) |
Mailing Address: | 9 Marea Ave # C La Selva Beach |
State: | CA US |
Postal Code: | 950761726 |
Phone Number: | 4083706147 |
Fax Number: | 4083706196 |
NPI Enumeration Date: | 05/27/2011 |
NPI Last Update Date: | 05/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |