Organization · Type 2 NPI

Charles A. Long, A Professional Marriage and Family Therapy Corporatio

Community/Behavioral Health Agency · La Mesa, CA

NPI number 1144662131 Active

Practice location

5480 Baltimore Dr, Suite 202
La Mesa, CA 91942-2020

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XMFC33504 (CA)

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…

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About NPI 1144662131

Charles A. Long, A Professional Marriage and Family Therapy Corporatio's National Provider Identifier is 1144662131, issued on Jul 19, 2013. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in La Mesa, CA. The record was last updated on Jul 19, 2013.