BACK2LIFE
Organization (NPI-2)
Active
Exclusive Provider Organization
Provider Information
- NPI Number
1780954693- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 835 3RD AVE SUITE A-2, CHULA VISTA, CA, 919111352
- Phone
- (619) 271-5166
- Fax
- (888) 853-4631
Specialties & Taxonomies
Exclusive Provider Organization
Primary