Healthcare Provider Details

I. General information

NPI: 1073449732
Provider Name (Legal Business Name): SURVIVORS REJOICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6403 IMPERIAL AVE
SAN DIEGO CA
92114-4216
US

IV. Provider business mailing address

325 W WASHINGTON ST STE 2
SAN DIEGO CA
92103-1946
US

V. Phone/Fax

Practice location:
  • Phone: 619-751-9130
  • Fax:
Mailing address:
  • Phone: 619-751-9130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SARAH TEDLA BEKELE
Title or Position: FOUNDER/CEO
Credential:
Phone: 619-751-9130