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Organization
INTREPID SPIRIT CENTER
Active
Organization
INTREPID SPIRIT CENTER
Active
Parent organization
NAVAL HOSPITAL CAMP PENDLETON
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL HOSPITAL CAMP PENDLETON
Authorized official
WILLIAM M CONDON (UBO MANAGER)
(240) 401-3643
Entity
Organization
Contact information
Practice address
200 MERCY CIR, CAMP PENDLETON, CA 92055
(619) 767-7000
Mailing address
200 MERCY CIR, CAMP PENDLETON, CA 92055
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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