Organization · Type 2 NPI

Upac TRC

Community/Behavioral Health Agency · San Diego, CA

NPI number 1013363035 Active

Practice location

1405 Park Blvd, Building 100
San Diego, CA 92101-4722

Call (619) 521-5720 Map

Mailing address

3288 El Cajon Blvd Ste 13
San Diego, CA 92104-1430

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

2 other providers at this address

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NPI record

NPI: 1013363035
Entity type: Organization (Type 2)
Issued: May 9, 2016
Last updated: Sep 12, 2022
Status: Active
Subpart: Yes of Union of Pan Asian Communities

Other names

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San Diego High · other name
San Diego High · other name

Authorized official

Courtney Boatman, LMFT
Program Director
(619) 521-5720

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013363035

Upac TRC's National Provider Identifier is 1013363035, issued on May 9, 2016. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in San Diego, CA. The record was last updated on Sep 12, 2022.