Organization · Type 2 NPI
San Diego Freedom Ranch, Inc.
Substance Abuse Rehabilitation Facility · Campo, CA
NPI number
1093937591
Active
Practice location
1777 Buckman Springs Rd
Campo, CA 91906
Fax (619) 478-2404
Mailing address
PO Box 157
Campo, CA 91906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 370004AN (CA) |
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.
74 other providers at this address
- Alexander Paul Hummel, RADTAddiction (Substance Use Disorder) Counselor Campo, CA NPI 1790580793
- Andrea Acuna Eyraud, RADTAddiction (Substance Use Disorder) Counselor Campo, CA NPI 1144056300
- Ann Carter, RNRegistered Nurse Campo, CA NPI 1528952561
- Anthony Jacob Hernandez, RADTAddiction (Substance Use Disorder) Counselor Campo, CA NPI 1417783697
- Anthony Stracener, RADT-IAddiction (Substance Use Disorder) Counselor Campo, CA NPI 1366901910
- Billy Darrell Lockett, RADT-IAddiction (Substance Use Disorder) Counselor Campo, CA NPI 1699234161
- Billy Don Wilson, CADC-CASAddiction (Substance Use Disorder) Counselor Campo, CA NPI 1518577493
- Brian M. Baldwin, SUDRCAddiction (Substance Use Disorder) Counselor Campo, CA NPI 1326756065
- Bryan S. Burke, RADTAddiction (Substance Use Disorder) Counselor Campo, CA NPI 1669186219
- Caitlyn N. Baldwin, RADTAddiction (Substance Use Disorder) Counselor Campo, CA NPI 1508564873
- Carlos Alberto Ramirez, RADTAddiction (Substance Use Disorder) Counselor Campo, CA NPI 1104689918
- Carmen Correa, RADTAddiction (Substance Use Disorder) Counselor Campo, CA NPI 1831925023
About NPI 1093937591
San Diego Freedom Ranch, Inc.'s National Provider Identifier is 1093937591, issued on May 3, 2007. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Campo, CA. The record was last updated on Aug 31, 2020.