Organization
PUENTE DE VIDA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SCHAEFER (VICE-PRESIDENT)
(858) 452-3915
Entity
Organization
Contact information
Practice address
4747 MORENA BLVD, SUITE 258, SAN DIEGO, CA 92117-3465
(858) 452-3915
Mailing address
PO BOX 86020, SAN DIEGO, CA 92138-6020
(858) 452-3915
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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