Organization
RANCHO L'ABRI HEALTH GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID G NEWSON (CEO)
(858) 210-0598
Entity
Organization
Contact information
Practice address
3777 4TH AVE, SAN DIEGO, CA 92103-4202
(619) 704-3737
(619) 468-9390
Mailing address
4660 LA JOLLA VILLAGE DR, SUITE 500, SAN DIEGO, CA 92122-4601
(858) 210-0598
(858) 210-0598
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/26/2010
Last updated
06/01/2011
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