Organization
TRADITION ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA DENISE PARKER (BOARD OF DIRECTOR-PRESIDENT)
(619) 490-7703
Entity
Organization
Contact information
Practice address
4104 DELTA ST, SAN DIEGO, CA 92113-4113
(619) 264-0141
(619) 264-7274
Mailing address
4104 DELTA ST, SAN DIEGO, CA 92113-4113
(619) 264-0141
(619) 264-7274
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
370012AN
CA
Other
Enumeration date
03/19/2007
Last updated
04/02/2026
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