Organization
VETREN LLC
Active
Organization
VETREN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASPER ORR (OWNER)
(805) 626-7796
Entity
Organization
Contact information
Practice address
9051 MIRA MESA BLVD UNIT 261403, SAN DIEGO, CA 92196-7058
(805) 626-7796
Mailing address
9051 MIRA MESA BLVD UNIT 261403, SAN DIEGO, CA 92196-7058
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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