Organization · Type 2 NPI
Irene's Home LLC
Substance Abuse Rehabilitation Facility · San Diego, CA
NPI number
1063163905
Active
Practice location
1916 South 43rd St
San Diego, CA 92113
Fax (619) 393-0448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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About NPI 1063163905
Irene's Home LLC's National Provider Identifier is 1063163905, issued on Jan 12, 2022. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in San Diego, CA. The record was last updated on Jan 12, 2022.