Puente De Vida
NPI #1881728954 in La Jolla, California
Provider Information
- NPI Number
- 1881728954
- Entity Type
- Organization
- Organization Name
- Puente De Vida
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Mar 14, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3013 WOODFORD DR
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-3549
- Phone
- (858) 452-3915
Authorized Official
- Name
- MR. STEPHEN E. SCHAEFER, L.C.S.W.
- Title
- PRESIDENT
- Phone
- (858) 452-3915
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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