Clear Direction Psychological Services, INC
Clinic/Center, Adult Mental Health in Chula Vista, CA. Organization (NPI-2).
NPI number1194561522
StatusActive
Last updated in NPPESJul 4, 2024
Details
- NPI
- 1194561522
- Entity type
- Organization (NPI-2)
- Legal business name
- Clear Direction Psychological Services, INC
- Organization subpart
- No
- Enumeration date
- Jul 4, 2024
- Certification date
- Jul 4, 2024
- Last updated
- Jul 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
2127 Olympic PkwySte 1006-363
Chula Vista, CA 91915
Phone 619-874-8624
Mailing address
2127 Olympic PkwySte 1006-363
Chula Vista, CA 91915
Authorized official
Paul Anthony Vanportfliet
Chief Executive Officer
6198748624
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