Individual provider · Type 1 NPI

Kenneth Scott Donahue

Substance Abuse Rehabilitation Facility · Lemon Grove, CA

NPI number 1992395693 Active

Practice location

2049 Skyline Dr
Lemon Grove, CA 91945-4221

Mailing address

1031 La Presa Ave
Spring Valley, CA 91977-4415

Specialties and licenses

TaxonomyCodeLicense
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 1992395693

Kenneth Scott Donahue's National Provider Identifier is 1992395693, issued on Jan 26, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Lemon Grove, CA. The record was last updated on Jan 26, 2021.