Organization
AMITY SAN DIEGO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK ROBERT SANTOSUOSSO (CEO)
(561) 526-6697
Entity
Organization
Contact information
Practice address
3565 DEL REY ST STE 202, SAN DIEGO, CA 92109-5703
(888) 666-4405
(657) 441-0142
Mailing address
1800 OKEECHOBEE RD STE 200, WEST PALM BEACH, FL 33409-5207
(657) 441-0141
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
06/18/2025
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