Organization · Type 2 NPI
Ethridge Recovery Center
Substance Use Disorder Rehabilitation Clinic/Center · San Diego, CA
NPI number
1497230429
Active
Practice location
405 63rd St
San Diego, CA 92114-4237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1497230429
Ethridge Recovery Center's National Provider Identifier is 1497230429, issued on Sep 25, 2018. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in San Diego, CA. The record was last updated on Sep 25, 2018.