Organization
ARCC CENTER FOUNDATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE ANNETTE BACSIK (DIRECTOR)
(619) 300-4366
Entity
Organization
Contact information
Practice address
6204 COLLEGE AVE, SAN DIEGO, CA 92120-3006
(619) 300-4366
(949) 812-6657
Mailing address
5173 WARING RD STE 114, SAN DIEGO, CA 92120-2705
(619) 300-4366
(949) 812-6657
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
08/27/2012
Last updated
04/20/2017
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