Organization · Type 2 NPI

Southern Indian Health Council

Comprehensive Outpatient Rehabilitation Facility (CORF) · Boulevard, CA

NPI number 1902562416 Active

Practice location

8 Crestwood Rd
Boulevard, CA 91905-9725

Specialties and licenses

Taxonomy	Code	License
Comprehensive Outpatient Rehabilitation Facility (CORF) Primary	261QR0401X	None listed

Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...

Another provider at this address

Tricia Denise Neill, CADC-IAddiction (Substance Use Disorder) Counselor Boulevard, CA NPI 1497509194

NPI record

NPI: 1902562416
Entity type: Organization (Type 2)
Issued: Nov 10, 2021
Last updated: Nov 12, 2024
Status: Active
Subpart: Yes of Southern Indian Health Council Inc

Other names

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Sihc Kumeyaay Wellness Center · other name
Sihc Kumeyaay Wellness Center · other name

Authorized official

Marie Dizon
Lead Biller
(619) 445-1188

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About NPI 1902562416

Southern Indian Health Council's National Provider Identifier is 1902562416, issued on Nov 10, 2021. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Boulevard, CA. The record was last updated on Nov 12, 2024.