| Upac New Leaf Recovery Center South | |
|
865 Third Ave Ste 112 Chula Vista CA 91911-1300 | |
| (619) 271-7992 | |
| (619) 271-7970 |
| Full Name | Upac New Leaf Recovery Center South |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 865 Third Ave Ste 112, Chula Vista, California |
| Authorized Official Name and Position | Sunnyo Pak (PROGRAM DIRECTOR) |
| Authorized Official Contact | 6195215720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upac New Leaf Recovery Center South 1031 25th St San Diego CA 92102-2194 Ph: (619) 232-6454 | Upac New Leaf Recovery Center South 865 Third Ave Ste 112 Chula Vista CA 91911-1300 Ph: (619) 271-7992 |
| NPI Number | 1972077899 |
|---|---|
| Provider Enumeration Date | 01/14/2019 |
| Last Update Date | 04/09/2021 |
| Certification Date | 04/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972077899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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