La Jolla Recovery INC

NPI #1174187017 in La Jolla, California

Provider Information

NPI Number
1174187017
Entity Type
Organization
Organization Name
La Jolla Recovery INC
Subpart
Yes (part of a larger organization)
Parent Organization
LA JOLLA RECOVERY
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Apr 25, 2019
Last Updated
Oct 9, 2019

Practice Location

Address
5978 LA JOLLA CORONA DR
ZIP Code
92037-7447
Phone
(858) 877-3422

Authorized Official

Name
DANIEL SIMONS
Title
CEO
Phone
(858) 877-3422

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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