Organization · Type 2 NPI

Local 92109 LLC

Substance Use Disorder Rehabilitation Clinic/Center · San Diego, CA

NPI number 1639677768 Active

Practice location

1940 Garnet Ave Ste 120
San Diego, CA 92109

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

3 other providers at this address

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About NPI 1639677768

Local 92109 LLC's National Provider Identifier is 1639677768, issued on Jan 23, 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 Aug 15, 2018.