| Organization Name: | P.A.T.H.S. PSYCHIATRIC AND THERAPEUTIC HEALTH SERVICES INC |
| NPI Number: | 1205116332 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN ELIZABETH RINDT (VICE PRESIDENT) |
| Mailing Address: | 3790 Via De La Valle 118e Del Mar |
| State: | CA US |
| Postal Code: | 920144247 |
| Phone Number: | 8583429135 |
| Fax Number: | 7606341981 |
| NPI Enumeration Date: | 08/20/2011 |
| NPI Last Update Date: | 08/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY 18895 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |