CENTER FOR POSITIVE CHANGES STAY NPI 1881162071

NPI Information

CENTER FOR POSITIVE CHANGES STAY is a residential treatment facility emotionally disturbed children in San Diego, CA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. CENTER FOR POSITIVE CHANGES STAY NPI is 1881162071. The provider is registered as an organization entity type.
The provider Other Name Is Center For Positive Changes Stay 2.

The provider's business location address is:

5972 KENYATTA CT
SAN DIEGO, CA
ZIP 92114-512
Phone: (619) 677-2879
Fax: (619) 660-6604

The provider's authorized official is Deanna Mellos .
The authorized official title is Director and has the following contact phone number (619) 248-0552.

The enumeration date for this NPI number is 11/6/2018 and was last updated on 1/15/2019.

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:

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