| Crownview Co-occuring Institute, Inc | |
|
158 C Avenue Coronado CA 92118-1420 | |
| (619) 435-5400 | |
| Not Available |
| Full Name | Crownview Co-occuring Institute, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 158 C Avenue, Coronado, California |
| Authorized Official Name and Position | Mark Melden (PRESIDENT) |
| Authorized Official Contact | 6194355400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crownview Co-occuring Institute, Inc 158 C Avenue Coronado CA 92118-1420 Ph: (619) 435-5400 | Crownview Co-occuring Institute, Inc 158 C Avenue Coronado CA 92118-1420 Ph: (619) 435-5400 |
| NPI Number | 1144626375 |
|---|---|
| Provider Enumeration Date | 11/17/2014 |
| Last Update Date | 11/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144626375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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