Organization
INTREPID SPIRIT CENTER
Active
Parent organization
NAVAL HOSPITAL CAMP PENDLETON
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL HOSPITAL CAMP PENDLETON
Authorized official
WILLIAM M CONDON (UBO MANAGER)
(240) 401-3643
Entity
Organization
Contact information
Practice address
200 MERCY CIR, CAMP PENDLETON, CA 92055
(619) 767-7000
Mailing address
200 MERCY CIR, CAMP PENDLETON, CA 92055
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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