Individual provider · Type 1 NPI
Judith K. Moss
Mental Illness Community Based Residential Treatment Facility · Vista, CA
NPI number
1417239864
Active
Practice location
2035 Alta Vista Dr
Vista, CA 92084-7017
Fax (760) 414-9127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 374601463 (CA) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Another provider at this address
About NPI 1417239864
Judith K. Moss's National Provider Identifier is 1417239864, issued on Sep 12, 2011. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Vista, CA. The record was last updated on Sep 12, 2011.