The Fellowship Center Alcohol Services Program, Inc.
NPI #1902808744 in Escondido, California
Provider Information
- NPI Number
- 1902808744
- Entity Type
- Organization
- Organization Name
- The Fellowship Center Alcohol Services Program, Inc.
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Aug 11, 2005
- Last Updated
- Oct 19, 2018
Practice Location
- Address
- 737 E GRAND AVE
- City
- Escondido
- State
- California
- ZIP Code
- 92025-4404
- Phone
- (760) 745-8478
Authorized Official
- Name
- RAYMOND J DICICCIO, ASW, LAADC-CA
- Title
- PROGRAM DIRECTOR
- Phone
- (760) 745-8478
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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