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HANBLECEYA TREATMENT CENTER NPI 1114333960


NPI Information

NPI: 1114333960
Provider Name: HANBLECEYA TREATMENT CENTER

Doing Business As: VISION QUEST

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization

CLIA Number: 05D2076644

Address:
5520 WELLESLEY ST STE 100
LA MESA, CA
ZIP 91942
Phone: (619) 466-0547
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HANBLECEYA TREATMENT CENTER is a residential treatment facility, intellectual and/or developmental disabilities in La Mesa, CA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. HANBLECEYA TREATMENT CENTER NPI is 1114333960. The provider is registered as an organization entity type.
The provider Is Doing Business As Vision Quest.

The provider's business location address is:

5520 WELLESLEY ST STE 100
LA MESA, CA
ZIP 91942
Phone: (619) 466-0547

The provider's authorized official is Wesley Stephenson .
The authorized official title is Vice President Of Finance and has the following contact phone number (619) 820-0034.

The CLIA number assigned to this NPI record is 05D2076644 - other - behavioral health facilit with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2014 and was last updated on 5/24/2023.


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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities374603028CALIFORNIAYes

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: 5/5/2024

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