Organization
A KA CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAILINH HOANG (CEO)
(858) 349-3760
Entity
Organization
Contact information
Practice address
4715 DIVINE WAY, LA MESA, CA 91941-6832
(858) 349-3760
Mailing address
4715 DIVINE WAY, LA MESA, CA 91941-6832
(858) 349-3760
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
04/20/2023
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