Organization Name: | STEPPING STONE OF SAN DIEGO, INC. |
NPI Number: | 1013045905 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN DE MIRANDA (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 3767 Central Ave San Diego |
State: | CA US |
Postal Code: | 921052506 |
Phone Number: | 6195844010 |
Fax Number: | 6195841546 |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 06/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | 0807025 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |