Individual provider · Type 1 NPI
Betty Moss
Mental Illness Community Based Residential Treatment Facility · San Diego, CA
NPI number
1730003922
Active
Practice location
5001 54th Street
San Diego, CA 92115
Mailing address
8080 Canton Dr
Lemon Grove, CA 91945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Rehabilitation Clinic/Center | 261QR0400X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | None listed |
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 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.
About NPI 1730003922
Betty Moss's National Provider Identifier is 1730003922, issued on Aug 10, 2026. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in San Diego, CA. The record was last updated on Aug 10, 2026.