Organization
ROYBAL MD CHEMICAL DEPENDENCE TREATMENT INC
Active
Other names
True Life Center for Wellbeing
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTA LYDIA ROYBAL M.D. (MEDICAL DIRECTOR)
(858) 202-1822
Entity
Organization
Contact information
Practice address
4520 EXECUTIVE DR, SUITE 225, SAN DIEGO, CA 92121-3018
(858) 202-1822
(858) 202-4421
Mailing address
4520 EXECUTIVE DRIVE, SUITE 225, SAN DIEGO, CA 92121
(858) 202-1822
(858) 202-4421
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
101YM0800X
Mental Health Counselor
—
CA
103T00000X
Psychologist
—
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
CA
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
CA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2013
Last updated
02/19/2015
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