Organization · Type 2 NPI

Upac Teen Recovery Center

Community/Behavioral Health Agency · San Diego, CA

NPI number 1508588476 Active

Practice location

500 30th St
San Diego, CA 92102-3090

Call (619) 704-1020 Map

Mailing address

3288 El Cajon Blvd Ste 13
San Diego, CA 92104-1430

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

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…

2 other providers at this address

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NPI record

NPI: 1508588476
Entity type: Organization (Type 2)
Issued: Sep 16, 2022
Last updated: Jul 23, 2026
Status: Active
Subpart: Yes of Union of Pan Asian Communities

Other names

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King-Chavez Community High School · other name
San Diego Community High · other name

Authorized official

Sarah Ferry
Chief Finance Officer
(619) 232-6454

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508588476

Upac Teen Recovery Center's National Provider Identifier is 1508588476, issued on Sep 16, 2022. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in San Diego, CA. The record was last updated on Jul 23, 2026.