Organization · Type 2 NPI

Hope Canyon

Substance Abuse Rehabilitation Facility · San Diego, CA

NPI number 1992216063 Active

Practice location

2821 Lange Ave
San Diego, CA 92122-3109

Mailing address

1515 NW 167th St Ste 300
Miami Gardens, FL 33169-5106

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800XNone listed
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1992216063

Hope Canyon's National Provider Identifier is 1992216063, issued on Oct 17, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in San Diego, CA. The record was last updated on Jun 4, 2020.