| Nmcsd | |
|
34800 Bob Wilson Dr Nmcsd San Diego CA 92134-1098 | |
| (858) 753-1735 | |
| Not Available |
| Full Name | Nmcsd |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 34800 Bob Wilson Dr, San Diego, California |
| Authorized Official Name and Position | Aleksandra Marinovic (PSYCHOLOGIST) |
| Authorized Official Contact | 8583494496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nmcsd 2435 Adams Ave #5 San Diego CA 92116-1343 Ph: () - | Nmcsd 34800 Bob Wilson Dr Nmcsd San Diego CA 92134-1098 Ph: (858) 753-1735 |
| NPI Number | 1336472869 |
|---|---|
| Provider Enumeration Date | 09/16/2009 |
| Last Update Date | 09/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336472869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 22507 (California) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | 22507 (California) | Primary |
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