Organization Name: | RADY CHILDREN'S OUTPATIENT PSYCHIATRY |
NPI Number: | 1003095589 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA HAZELWOOD (SITE COORDINATOR) |
Mailing Address: | 625 W Citracado Pkwy Suite 102 Escondido |
State: | CA US |
Postal Code: | 920256428 |
Phone Number: | 7602949270 |
Fax Number: | 7602949268 |
NPI Enumeration Date: | 10/31/2007 |
NPI Last Update Date: | 10/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 283Q00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Psychiatric Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |