Organization
PSYCLARITY HEALTH SAN DIEGO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON BARSALOU (OPERATIONS MANAGER)
(855) 920-5310
Entity
Organization
Contact information
Practice address
2667 CAMINO DEL RIO S STE 306-1, SAN DIEGO, CA 92108-3778
(818) 489-4592
Mailing address
2667 CAMINO DEL RIO S STE 306-1, SAN DIEGO, CA 92108-3778
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370192AP
CALIFORNIA DHCS
CA
Enumeration date
05/12/2021
Last updated
05/18/2022
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