is a Addiction (substance Use Disorder) in Escondido, California. practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for is 1922218171. The last update date is .
's current location address is 620 N Ash St, Escondido, California. You can contact this provider via phone number 7607417708 and fax number 7607415421. The mailing address for is 620 N Ash St, Escondido, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 620 N Ash St, Escondido, California |
| Phone Number | 7607417708 |
| Fax Number | 7607415421 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1922218171 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 620 N Ash St |
|---|---|
| City | Escondido |
| State | California (CA) |
| Post Code | 920271902 |
| Phone Number | 7607417708 |
| Fax Number | 7607415421 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 37AB | CA | -- |
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