Organization Name: | CAMELOT AT AFFINITYTREATMENT CENTERS INC |
NPI Number: | 1225440613 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDITH MOSS (CEO/OWNER) |
Mailing Address: | 2035 Alta Vista Dr Vista |
State: | CA US |
Postal Code: | 920847017 |
Phone Number: | 7607247898 |
Fax Number: | 7604149127 |
NPI Enumeration Date: | 05/20/2014 |
NPI Last Update Date: | 05/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | 374601463 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |