Healthcare Provider Details

I. General information

NPI: 1508468430
Provider Name (Legal Business Name): NATIONAL ASSOCIATION FOR THE TREATMENT OF SEXUAL ABUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2020
Last Update Date: 11/18/2020
Certification Date: 11/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1223 SARAHFAYE CT
ESCONDIDO CA
92026-2128
US

IV. Provider business mailing address

1223 SARAHFAYE CT
ESCONDIDO CA
92026-2128
US

V. Phone/Fax

Practice location:
  • Phone: 760-737-0553
  • Fax: 760-735-2922
Mailing address:
  • Phone: 760-737-0553
  • Fax: 760-735-2922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. YOSHITA SINGH CONRAD
Title or Position: ADMINISTRATOR
Credential: MA
Phone: 858-353-6357