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Organization
UPAC ADDICTION TREATMENT AND RECOVERY CENTER
Active
Organization
UPAC ADDICTION TREATMENT AND RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY BOATMAN LMFT (PROGRAM DIRECTOR)
(619) 521-5720
Entity
Organization
Contact information
Practice address
3288 EL CAJON BLVD., SUITES 13, 12, 11, 10, 6, 3, SAN DIEGO, CA 92104-1430
(619) 521-5720
Mailing address
3288 EL CAJON BLVD STE 13, SAN DIEGO, CA 92104-1430
(619) 521-5720
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3704
—
CA
Enumeration date
03/15/2007
Last updated
09/12/2022
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