OrganizationActive
A Wildwood Recovery Iop
NPI 1306323639 · Substance Use Disorder Rehabilitation Clinic/Center · Thousand Oaks, CA
Provider details
- NPI number
- 1306323639
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- A Wildwood Recovery
- Organization subpart
- Yes
- Authorized official
- Shannon Siaotong, Facility Administrator(805) 493-5741
- License
- 560040BP (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
166 N. Moorpark Rd
Suite 304
Thousand Oaks, CA 91360
Phone: (805) 497-1900
Fax: (805) 497-1920
Approximate (ZIP-level) locationGet directions
Mailing address
166 N. Moorpark Rd
Thousand Oaks, CA 91360
Registry dates
- Enumerated
- 2018-07-19
- Last updated
- 2018-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.