Organization
HEALTHY WITHIN INC
Active
Organization
HEALTHY WITHIN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIVYA KAKAIYA PH.D. (CLINICAL DIRECTOR)
(858) 622-0221
Entity
Organization
Contact information
Practice address
5665 OBERLIN DR STE 206, SAN DIEGO, CA 92121-1739
(858) 622-0221
Mailing address
5665 OBERLIN DR STE 206, SAN DIEGO, CA 92121-1739
(858) 622-0221
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY14052
CA
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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