Chemical Dependency & Pain Recovery Of Ca, LLC
Substance Abuse Rehabilitation Facility in San Diego, CA. Organization (NPI-2).
NPI number1487950002
StatusActive
Last updated in NPPESJan 28, 2011
Details
- NPI
- 1487950002
- Entity type
- Organization (NPI-2)
- Legal business name
- Chemical Dependency & Pain Recovery Of Ca, LLC
- Organization subpart
- No
- Enumeration date
- Jan 28, 2011
- Last updated
- Jan 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | 370123BP | CA | Yes |
Other names
- Bay Recovery (Doing Business As)
Practice location
4241 Jutland DrSuite 103
San Diego, CA 92117-3663
Phone 858-490-3460 · Fax 858-490-3462
Mailing address
4241 Jutland DrSuite 103
San Diego, CA 92117-3663
Phone 858-490-3460 · Fax 858-490-3462
Authorized official
James Reed
Operations Manager
8584903460
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