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UPAC ADDICTION TREATMENT AND RECOVERY CENTER NPI 1831223247


NPI Information

NPI: 1831223247
Provider Name: UPAC ADDICTION TREATMENT AND RECOVERY CENTER
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
3288 EL CAJON BLVD.
SUITES 13, 12, 11, 10, 6, 3
SAN DIEGO, CA
ZIP 92104
Phone: (619) 521-5720
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UPAC ADDICTION TREATMENT AND RECOVERY CENTER is an addiction (substance use disorder) counselor in San Diego, CA. UPAC ADDICTION TREATMENT AND RECOVERY CENTER NPI is 1831223247. The provider is registered as an organization entity type.

The provider's business location address is:

3288 EL CAJON BLVD.
SUITES 13, 12, 11, 10, 6, 3
SAN DIEGO, CA
ZIP 92104-430
Phone: (619) 521-5720

The provider's authorized official is Courtney Boatman .
The authorized official title is Program Director and has the following contact phone number (619) 521-5720.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 9/12/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251K00000XPublic Health or WelfareNo
2101YA0400XCounselorAddiction (Substance Use Disorder)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13704MEDICAIDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.