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Shawn Lauritz Miller SR., OWNER
Substance Abuse Rehabilitation Facility in Simi Valley, California
NPI 1992253009

Shawn Lauritz Miller SR. is a Substance Abuse Rehabilitation Facility based in Simi Valley, CA. Shawn Lauritz Miller SR. practices in Simi Valley, CA and has the professional credentials of OWNER. The NPI Number for Shawn Lauritz Miller SR. is 1992253009 and holds a License No. 560051AP (California).

The current practice location address for Shawn Lauritz Miller SR. is 3069 Cisco Ct, Simi Valley, CA and can be reached out via phone at 805-624-7700.

Location: 3069 Cisco Ct, Simi Valley, CA, 93063-1809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992253009
Provider Name
Shawn Lauritz Miller SR.
Credential
OWNER
Provider Entity Type
Individual
Gender
Male
Address
3069 Cisco Ct, Simi Valley, CA, 93063-1809
Phone Number
805-624-7700
Fax Number
Provider Enumeration Date
09/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3069 Cisco Ct
City
Simi Valley
State
California
Zip
93063-1809
Phone Number
805-624-7700
Fax Number
person
Provider Business Mailing Address Details
Address
3069 Cisco Ct
City
Simi Valley
State
California
Zip
93063-1809
Phone Number
805-624-7700
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
560051AP (California)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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