| Upac Addiction Treatment And Recovery Center | |
|
3288 El Cajon Blvd. Suites 13, 12, 11, 10, 6, 3 San Diego CA 92104-1430 | |
| (619) 521-5720 | |
| Not Available |
| Full Name | Upac Addiction Treatment And Recovery Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3288 El Cajon Blvd., San Diego, California |
| Authorized Official Name and Position | Courtney Boatman (PROGRAM DIRECTOR) |
| Authorized Official Contact | 6195215720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upac Addiction Treatment And Recovery Center 3288 El Cajon Blvd Ste 13 San Diego CA 92104-1430 Ph: (619) 521-5720 | Upac Addiction Treatment And Recovery Center 3288 El Cajon Blvd. Suites 13, 12, 11, 10, 6, 3 San Diego CA 92104-1430 Ph: (619) 521-5720 |
| NPI Number | 1831223247 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 09/12/2022 |
| Certification Date | 09/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831223247 | NPI | - | NPPES |
| 3704 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 251K00000X | Public Health Or Welfare | (* (Not Available)) | Secondary |
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