MEDICARE: NAVCON BRIG MIRAMAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1497951883
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAVCON BRIG MIRAMAR

Provider Business Mailing Address
First Line	:	4296 SHIELDS PL
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92124-3318
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	46141 MIRAMAR WAY
Second Line	:	NAVCON BRIG (CLINICAL SERVICES)
City	:	SAN DIEGO
State	:	CA
Zip	:	92145-5401
Country	:	US
Telephone Number	:	858-577-7144
Fax Number	:

Authorized Official
Title or Position	:	CHIEF BEHAVIORAL HEALTH SERVICES
Name	:	DAVID V. HINDMAN
Credential	:	CMSW, MAC
Telephone Number	:	858-577-7144

Provider Enumeration Date	:	06/22/2007
Last Update Date	:	08/13/2008

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Directions to “NAVCON BRIG MIRAMAR ” Practice Location

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