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Organization
KALI WEST, LLC
Active
Organization
KALI WEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY AMUNDSON (PROGRAM DIRECTOR)
(760) 343-5759
Entity
Organization
Contact information
Practice address
17676 VISTA RANCHO COURT, RANCHO SANTA FE, CA 92067
(760) 343-5759
Mailing address
2912 MANAGUA PL, CARLSBAD, CA 92009-7105
(760) 343-5759
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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