Betty Moss
Community Based Residential Treatment Facility, Mental Illness in San Diego, CA. Individual provider (NPI-1).
NPI number1730003922
StatusActive
Last updated in NPPESAug 10, 2026
Details
- NPI
- 1730003922
- Entity type
- Individual (NPI-1)
- Name
- Ms. Betty Moss
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 10, 2026
- Certification date
- Aug 9, 2026
- Last updated
- Aug 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – |
Practice location
5001 54th StreetSan Diego, CA 92115
Phone 619-990-3066
Mailing address
8080 Canton DrLemon Grove, CA 91945
Phone 619-990-3066
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