Balboa Therapy Center

NPI 1366547176 - Clinic/Center - 261QR0401X

NPI Details
NPI 1366547176
Enumeration Date 09/14/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SRI SRI
Position CEO
Phone (619) 294-7300
Fax
Practice Location
3969 4TH AVE STE 208
SAN DIEGO CA, 92103-3165, US
Phone (619) 294-7300
Fax
Business Location
3969 4TH AVE STE 208
SAN DIEGO CA, 92103-3165, US
Phone (619) 294-7300
Fax
Toxanomy
Taxonomy Code 261QR0401X
License State
License Number
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According to our database, Balboa Therapy Center NPI is 1366547176, taxonomy code is 261QR0401X Balboa Therapy Center physically located at 3969 4th Ave Ste 208, San Diego CA, 92103-3165. NPI Number 1033115704 has the healthcare provider type.

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1366547176 NPI number is provided on an as is basis without warranty of any kind. 1366547176 is maintained by the National Plan & Provider Enumeration System. The contents of Balboa Therapy Center are for informational purposes only.