Prosperous Health Imperial Beach, LLC
NPI #1124826011 in Imperial Beach, California
Provider Information
- NPI Number
- 1124826011
- Entity Type
- Organization
- Organization Name
- Prosperous Health Imperial Beach, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Mar 5, 2025
- Last Updated
- Jun 23, 2025
Practice Location
- Address
- 107 DAISY AVE
- City
- Imperial Beach
- State
- California
- ZIP Code
- 91932
- Phone
- (833) 364-4722
Authorized Official
- Name
- MR. JERRY SHIREY
- Title
- PRESIDENT
- Phone
- (619) 669-3295
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Substance Abuse Rehabilitation Facility |
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