Organization · NPI-2

Nextgen Treatment, INC.

Family Medicine, Addiction Medicine · El Centro, CA

NPI number1689185159
StatusActive
Last updated in NPPESOct 23, 2017

Details

NPI
1689185159
Entity type
Organization (NPI-2)
Legal business name
Nextgen Treatment, INC.
Organization subpart
No
Enumeration date
Oct 23, 2017
Last updated
Oct 23, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0401X Family Medicine, Addiction Medicine––Yes

Practice location

2026 N Imperial Ave Ste D
El Centro, CA 92243-1607

Phone 760-693-5372 · Fax 760-693-5375

Mailing address

9880 N Magnolia Ave Ste 200
Santee, CA 92071-1901

Phone 619-916-3177 · Fax 619-757-2328

Authorized official

Denise Balkcom
Administrator
8882688607

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