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Organization
SOAP MAT, LLC
Active
Organization
SOAP MAT, LLC
Active
Parent organization
SOAP MAT, LLC
Other names
SOAP MAT, LLC Central
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOAP MAT, LLC
Authorized official
FRANCISCO MARC GONZALO MA (REGIONAL DIRECTOR)
(760) 305-7528
Entity
Organization
Contact information
Practice address
6425 UNIVERSITY AVE, SAN DIEGO, CA 92115-5808
(760) 983-2222
(760) 982-2410
Mailing address
6425 UNIVERSITY AVE, SAN DIEGO, CA 92115-5808
(760) 983-2222
(760) 982-2410
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM2800X
Methadone Clinic
—
—
Other
Enumeration date
10/25/2024
Last updated
03/05/2025
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