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MOTHERLY EMBRACE NPI 1508645276


NPI Information

NPI: 1508645276
Provider Name: MOTHERLY EMBRACE
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
10985 PACIFIC POINT PL UNIT 1203
SAN DIEGO, CA
ZIP 92129
Phone: (858) 253-0809
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MOTHERLY EMBRACE is a developmental disabilities clinic center in San Diego, CA. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). MOTHERLY EMBRACE NPI is 1508645276. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10985 PACIFIC POINT PL UNIT 1203
SAN DIEGO, CA
ZIP 92129-088
Phone: (858) 253-0809

The provider's authorized official is Ifah S Grady .
The authorized official title is Ceo and has the following contact phone number (858) 253-0809.

The enumeration date for this NPI number is 9/22/2023 and was last updated on 9/22/2023.


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
1103K00000XBehavior AnalystNo
2103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
3106E00000XAssistant Behavior AnalystNo
4106S00000XBehavior TechnicianNo
5171000000XMilitary Health Care ProviderNo
6174H00000XHealth EducatorNo
7320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
8261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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

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.