Set Free Drug & Alcohol Treatment Centers of America

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

560051AP Issued in CA

Legal business name

SET FREE DRUG & ALCOHOL TREATMENT CENTERS OF AMERICA

Practice address

3069 Cisco CT
Simi Valley, CA 93063-1809

Phone

(805) 584-9605

NPI assigned

Oct 27, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Keli Kornmiller

Title

Onboarding Supervisor

Phone

(561) 672-8345

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1972055747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3069 CISCO CT",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930631809",
            "telephone_number": "805-584-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3069 CISCO CT",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930631809",
            "telephone_number": "805-584-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SET FREE DRUG & ALCOHOL TREATMENT CENTERS OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "KORNMILLER",
        "authorized_official_first_name": "KELI",
        "authorized_official_title_or_position": "ONBOARDING SUPERVISOR",
        "authorized_official_telephone_number": "561-672-8345"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "560051AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Sequeira, OTR
• Seratona Psychotherapy Collective, a Marriage and Family Therapy Corporation
• Serena M. Friedman M.D., a Medical Corporation
• Serenity Hope Hospice
• Serenity Hospice Care Provider, Inc.
• Setarehshenas Dental Corporation
• Amanda J Setto, OD, FAAO
• Garrett Patrick Seward
• SH Home Health Inc
• SH Hospice Inc.

• Substance Abuse Rehabilitation Facility in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.