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Organization
SOAP MAT, LLC
Active
Organization
SOAP MAT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA ELLEN ROSSI PHD. (CEO)
(760) 274-3158
Entity
Organization
Contact information
Practice address
1939 W VISTA WAY, VISTA, CA 92083-6019
(760) 305-7528
(760) 509-4410
Mailing address
1939 W VISTA WAY, VISTA, CA 92083-6019
(760) 305-7528
(760) 509-4410
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/29/2010
Last updated
11/20/2024
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