Organization
3D RECOVERY
Active
Other names
3D RECOVERY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN HANA (CEO)
(619) 928-7968
Entity
Organization
Contact information
Practice address
5001 54TH ST, SAN DIEGO, CA 92115-2229
(619) 928-7968
Mailing address
7714 UNIVERSITY AVE, LA MESA, CA 91942-4902
(619) 928-7968
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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