Capalina Clinic
NPI #1104162403 in San Marcos, California
Provider Information
- NPI Number
- 1104162403
- Entity Type
- Organization
- Organization Name
- Capalina Clinic
- Primary Specialty
- Clinic/Center - Methadone
- Enumeration Date
- Dec 14, 2012
- Last Updated
- Dec 14, 2012
Practice Location
- Address
- 1560 CAPALINA RD
- City
- San Marcos
- State
- California
- ZIP Code
- 92069-1288
- Phone
- (760) 744-2104
Authorized Official
- Name
- PHILLIP C. WILFORD, RAS
- Title
- COUNSELOR
- Phone
- (206) 227-0959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Methadone — Methadone |
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