(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003579657
Provider Name: TYLER BOWMAN
Entity Type: Individual
Taxonomy Code: 324500000X
Specialty: Substance Abuse Rehabilitation Facility
License Number:
Most Important Dates
Enumeration Date: 10/20/2021
Last Updated: 10/20/2021
Provider Practice Location
1445 DONLON ST STE 15
VENTURA
CA
930035640
Practice Location Phone/Fax
Phone: 8058502686
Fax:
Provider Mailing Location
2759 SAILOR AVE
VENTURA
CA
930014159
Provider Mailing Phone/Fax
Phone:
Fax: