3853 Rosecrans St
Psychiatric Hospital in San Diego, CA. Organization (NPI-2).
NPI number1649562422
StatusActive
Last updated in NPPESMay 11, 2011
Details
- NPI
- 1649562422
- Entity type
- Organization (NPI-2)
- Legal business name
- 3853 Rosecrans St
- Organization subpart
- No
- Enumeration date
- May 11, 2011
- Last updated
- May 11, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 283Q00000X | Psychiatric Hospital | PT23671 | CA | Yes |
Practice location
3853 Rosecrans StSan Diego, CA 92110-3115
Phone 619-692-8222 · Fax 619-692-5734
Mailing address
3853 Rosecrans StSan Diego, CA 92110
Phone 619-692-8222 · Fax 619-692-5734
Authorized official
Sharon R Castro
Lpt
6926928222
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