Individual provider · Type 1 NPI
Gwana Sanders, M.S., M.A., RAD-I
Mental Illness Community Based Residential Treatment Facility · Escondido, CA
NPI number
1457705261
Active
Practice location
1341 N Escondido Blvd
Escondido, CA 92026-2507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
| Psychiatric Residential Treatment Facility | 323P00000X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | None listed |
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | None listed |
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.
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About NPI 1457705261
Gwana Sanders, M.S., M.A., RAD-I's National Provider Identifier is 1457705261, issued on Apr 18, 2016. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Escondido, CA. The record was last updated on Apr 18, 2016.