Ethridge Recovery Center

LBN: Ethridge Recovery Center
Ethridge Recovery Center is an health care organization with primary practice located at 405 63Rd St , San Diego CA 92114-4237. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Ethridge Recovery Center can be contacted via phone (619) 231-6361, or through Stroud, Willard Richard via phone (619) 231-6361.

Contact Information

Primary practice address
405 63Rd St San Diego CA 92114-4237
Phone: (619) 231-6361
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stroud, Willard Richard
Phone: (619) 231-6361

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1497230429
LBN Legal business name Ethridge Recovery Center
DBA Doing business as
Authorized official Stroud, Willard Richard
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2018
Last updated Sep 25th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers