Organization
PUENTE DE VIDA
Active
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
03/14/2007
Last updated
08/22/2020
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