REJUVE-NATIONS OUTPATIENTS FACILITY INC. NPI 1043679095

NPI Information

NPI: 1043679095
Provider Name: REJUVE-NATIONS OUTPATIENTS FACILITY, INC.
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
4101 UNIVERSITY AVE
STUITE E204, E205
SAN DIEGO, CA
ZIP 92105
Phone: (619) 602-9405
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REJUVE-NATIONS OUTPATIENTS FACILITY, INC. is an addiction (substance use disorder) counselor in San Diego, CA. REJUVE-NATIONS OUTPATIENTS FACILITY, INC. NPI is 1043679095. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4101 UNIVERSITY AVE
STUITE E204, E205
SAN DIEGO, CA
ZIP 92105-418
Phone: (619) 602-9405
Fax: (951) 657-7180

The provider's authorized official is Brenda Leonor Squarrel .
The authorized official title is Ceo and has the following contact phone number (619) 602-9405.

The enumeration date for this NPI number is 2/18/2016 and was last updated on 2/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	370105AN	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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