Intrepid Spirit Center

NPI #1184187296 in Camp Pendleton, California

Provider Information

NPI Number
1184187296
Entity Type
Organization
Organization Name
Intrepid Spirit Center
Subpart
Yes (part of a larger organization)
Parent Organization
NAVAL HOSPITAL CAMP PENDLETON
Primary Specialty
Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date
Apr 8, 2019
Last Updated
Apr 8, 2019

Practice Location

Address
200 MERCY CIR
ZIP Code
92055
Phone
(619) 767-7000

Authorized Official

Name
WILLIAM M CONDON
Title
UBO MANAGER
Phone
(240) 401-3643

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Military/U.S. Coast Guard OutpatientMilitary/U.S. Coast Guard Outpatient

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