Organization
OPTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL JANE HUBBARD OTR-L (GENERAL PARTNER-ADMINISTRATOR)
(619) 280-8585
Entity
Organization
Contact information
Practice address
3435 CAMINO DEL RIO S, SUITE # 107, SAN DIEGO, CA 92108-3902
(619) 280-8585
(619) 280-8641
Mailing address
3435 CAMINO DEL RIO S, SUITE # 107, SAN DIEGO, CA 92108-3902
(619) 280-8585
(619) 280-8641
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
OT4729
CA
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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