Organization
THE TWELFTH STEP HOUSE OF SAN DIEGO, INC.
Active
Other names
HEARTLAND HOUSE
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY DODSON CADC II, CATC (ADMINISTRATOR)
(619) 287-5460
Entity
Organization
Contact information
Practice address
5855 STREAMVIEW DR, SAN DIEGO, CA 92105-3910
(619) 287-5460
(619) 287-5040
Mailing address
5855 STREAMVIEW DR, SAN DIEGO, CA 92105-3910
(619) 287-5460
(619) 287-5040
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
370003AN
CA
Other
Enumeration date
03/02/2007
Last updated
02/01/2008
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