| Good Samaritan | |
|
104 S C St A Lompoc CA 93436-6924 | |
| (805) 736-0357 | |
| (800) 969-9350 |
| Full Name | Good Samaritan |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 104 S C St, Lompoc, California |
| Authorized Official Name and Position | Donna Michelle Flores (DIRECTOR OF TREATMENT) |
| Authorized Official Contact | 8053468185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan 104 S C St A Lompoc CA 93436-6924 Ph: (805) 736-0357 | Good Samaritan 104 S C St A Lompoc CA 93436-6924 Ph: (805) 736-0357 |
| NPI Number | 1063839843 |
|---|---|
| Provider Enumeration Date | 03/18/2014 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063839843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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