| Ndllj Inc | |
|
1535 Grand Ave San Marcos CA 92078-2465 | |
| (760) 697-0497 | |
| Not Available |
| Full Name | Ndllj Inc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 1535 Grand Ave, San Marcos, California |
| Authorized Official Name and Position | Honora Jenkins (CEO) |
| Authorized Official Contact | 7606970497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ndllj Inc 1507 E Valley Pkwy Ste 3 #360 San Marcos CA 92078 Ph: () - | Ndllj Inc 1535 Grand Ave San Marcos CA 92078-2465 Ph: (760) 697-0497 |
| NPI Number | 1558946731 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 03/10/2021 |
| Certification Date | 02/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558946731 | NPI | - | NPPES |
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