Organization · Type 2 NPI

Prosperous Health Imperial Beach, LLC

Substance Abuse Rehabilitation Facility · Imperial Beach, CA

NPI number 1124826011 Active

Practice location

107 Daisy Ave
Imperial Beach, CA 91932

Mailing address

9909 Huennekens St Ste 110
San Diego, CA 92121-2928

Other practice locations

  • 109 Daisy Ave, Imperial Beach, CA 91932 · (833) 364-4722

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone listed
Substance Abuse Rehabilitation Facility Primary 324500000XNone 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.

About NPI 1124826011

Prosperous Health Imperial Beach, LLC's National Provider Identifier is 1124826011, issued on Mar 5, 2025. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Imperial Beach, CA. The record was last updated on Jun 23, 2025.