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NORTH COUNTY THERAPY FOR YOUNG MEN NPI 1780148692


NPI Information

NPI: 1780148692
Provider Name: NORTH COUNTY THERAPY FOR YOUNG MEN
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
5985 EL CAJON BLVD
SAN DIEGO, CA
ZIP 92115
Phone: (619) 213-2079
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NORTH COUNTY THERAPY FOR YOUNG MEN is an adult mental health clinic center in San Diego, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. NORTH COUNTY THERAPY FOR YOUNG MEN NPI is 1780148692. The provider is registered as an organization entity type.

The provider's business location address is:

5985 EL CAJON BLVD
SAN DIEGO, CA
ZIP 92115-827
Phone: (619) 213-2079

The provider's authorized official is Christopher John Zures .
The authorized official title is Owner and has the following contact phone number (619) 213-2079.

The enumeration date for this NPI number is 1/24/2019 and was last updated on 1/29/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QM0850XClinic/CenterAdult Mental HealthYes
4261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
5261QS1000XClinic/CenterStudent HealthNo
6251S00000XCommunity/Behavioral HealthNo

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
1LPCC5986OTHERCALIFORNIABOARD OF BEHAVIORAL SCIENCES

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.