| Organization Name: | 3853 ROSECRANS ST |
| NPI Number: | 1649562422 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHARON R CASTRO (LPT) |
| Mailing Address: | 3853 Rosecrans St San Diego |
| State: | CA US |
| Postal Code: | 921103115 |
| Phone Number: | 6196928222 |
| Fax Number: | 6196925734 |
| NPI Enumeration Date: | 05/11/2011 |
| NPI Last Update Date: | 05/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283Q00000X |
| License Number: | PT23671 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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. |