Samuel Austin Blackwood in San Diego - Addiction (substance Use Disorder)
Samuel Austin Blackwood - NPI 1568649937
Samuel Austin Blackwood is a Addiction (substance Use Disorder) in San Diego, California. Samuel Austin Blackwood practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Samuel Austin Blackwood is 1568649937. The last update date is 2023-10-09.
Samuel Austin Blackwood's current location address is 3148 Midway Dr, San Diego, California. You can contact this provider via phone number 6193630853 and fax number 6193629905. The mailing address for Samuel Austin Blackwood is 3148 Midway Dr, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel Austin Blackwood |
|---|---|
| Address | 3148 Midway Dr, San Diego, California |
| Phone Number | 6193630853 |
| Fax Number | 6193629905 |
| Sole Proprietor | N |
| Credentials | CADC, CAS |
NPI Number Detail
| NPI Number | 1568649937 |
|---|---|
| Provider Enumeration Date | 2008-01-28 |
| Last Updated Date | 2023-10-09 |
Provider Mailing Address Detail
| Address | 3148 Midway Dr |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921104539 |
| Phone Number | 6193630853 |
| Fax Number | 6193629905 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Samuel Austin Blackwood by the Centers for Medicare & Medicaid Services?
The Samuel Austin Blackwood has been assigned the NPI (National Provider Identifier) 1568649937 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Samuel Austin Blackwood is physically located?
The Samuel Austin Blackwood is physically situated at the following address: 3148 Midway Dr, San Diego, CA, 921104539.
What is the Samuel Austin Blackwood's specialty and taxonomy code?
The Samuel Austin Blackwood's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1568649937 to Samuel Austin Blackwood?
The Samuel Austin Blackwood received its 1568649937 assignment from the Centers for Medicare & Medicaid Services on 2008-01-28.
When was the information regarding Samuel Austin Blackwood, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Samuel Austin Blackwood, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-10-09.
NPI Number: 1962405167
Address: 4230 Crums Mill Road, Harrisburg, PA