NPI 1073852612

One Tree INC

Organisation Physical Disabilities Residential Treatment Facility La Mesa, CA

Practice location

Address: 5500 Grossmont Center Dr, La Mesa, CA 91942-3016
Phone: (619) 588-0098
Mailing address: PO Box 12262, El Cajon, CA 92022-2262

Authorised official

Name: Brett E Henderson
Title: Ceo
Phone: (619) 588-0098

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence G36137 (CA)

Other Residential Treatment Facility, Physical Disabilities providers in California →

Registry record

NPI: 1073852612
Entity type: Organization
NPI issued: 1 Feb 2013
Record last updated: 22 Mar 2013

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.