Organization
SAN DIEGO SPAN
Active
Other names
LifeSpan Puente de Vida Prienta de Vida
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN E. SCHAEFER L.C.S.W. (PRESIDENT)
(858) 452-3915
Entity
Organization
Contact information
Practice address
3013 WOODFORD DR, LA JOLLA, CA 92037-3549
(858) 452-3915
(858) 452-1798
Mailing address
PO BOX 86020, SAN DIEGO, CA 92138-6020
(858) 452-3915
(858) 452-1798
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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