Substance Abuse Rehabilitation Program in San Diego - Marriage & Family Therapist
Substance Abuse Rehabilitation Program - NPI 1962473009
Substance Abuse Rehabilitation Program is a Marriage & Family Therapist in San Diego, California. Substance Abuse Rehabilitation Program practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Substance Abuse Rehabilitation Program is 1962473009. The last update date is 2020-08-22.
Substance Abuse Rehabilitation Program's current location address is 34800 Bob Wilson Dr, San Diego, California. You can contact this provider via phone number 6195567635 and fax number 6195569842. The mailing address for Substance Abuse Rehabilitation Program is 34800 Bob Wilson Dr, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Substance Abuse Rehabilitation Program |
|---|---|
| Address | 34800 Bob Wilson Dr, San Diego, California |
| Phone Number | 6195567635 |
| Fax Number | 6195569842 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LIP/CLINIC |
|---|---|
| Authorized Official Name | Williamson Coe R Mary |
| Credentials | M.A., MFT |
| Telephone Number | 6195567635 |
NPI Number Detail
| NPI Number | 1962473009 |
|---|---|
| Provider Enumeration Date | 2006-01-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 34800 Bob Wilson Dr |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921341098 |
| Phone Number | 6195567635 |
| Fax Number | 6195569842 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC 25227 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique 10-digit identifier code assigned to Substance Abuse Rehabilitation Program by the Centers for Medicare & Medicaid Services?
The Substance Abuse Rehabilitation Program has been issued the NPI (National Provider Identifier) 1962473009 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Substance Abuse Rehabilitation Program's physical address?
The Substance Abuse Rehabilitation Program is physically located at 34800 Bob Wilson Dr, in the city of San Diego, CA, with the postal code 921341098.
What is the Substance Abuse Rehabilitation Program's area of specialization and corresponding taxonomy classification?
The Substance Abuse Rehabilitation Program's specialty field is Marriage & Family Therapist, and it falls under the taxonomy code 106H00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962473009 to Substance Abuse Rehabilitation Program?
The Centers for Medicare & Medicaid Services originally issued the 1962473009 to Substance Abuse Rehabilitation Program on 2006-01-27.
When was the Substance Abuse Rehabilitation Program's information last updated?
The Substance Abuse Rehabilitation Program's information was last updated on 2020-08-22.