| Windansea Recovery | |
|
5639 La Jolla Blvd La Jolla CA 92037-7524 | |
| (619) 857-3089 | |
| Not Available |
| Full Name | Windansea Recovery |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5639 La Jolla Blvd, La Jolla, California |
| Authorized Official Name and Position | Gino Galofaro (OWNER) |
| Authorized Official Contact | 6197282010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Windansea Recovery Po Box 3395 La Jolla CA 92038-3395 Ph: () - | Windansea Recovery 5639 La Jolla Blvd La Jolla CA 92037-7524 Ph: (619) 857-3089 |
| NPI Number | 1518799634 |
|---|---|
| Provider Enumeration Date | 08/16/2024 |
| Last Update Date | 08/28/2024 |
| Certification Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518799634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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