NPI 1063163905

Irene's Home LLC

Organisation Substance Abuse Rehabilitation Facility San Diego, CA

Practice location

Address: 1916 South 43rd St, San Diego, CA 92113
Phone: (619) 538-7599
Fax: (619) 393-0448

Authorised official

Name: Portia Smith
Title: Ceo
Phone: (619) 538-7599

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in California →

Registry record

NPI: 1063163905
Entity type: Organization
NPI issued: 12 Jan 2022
Record last updated: 12 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.