Thomas Hathorn - Lakeside, CA

Thomas Hathorn

Substance Abuse Rehabilitation Facility in Lakeside, California

NPI 1093118176

Thomas Hathorn is a Substance Abuse Rehabilitation Facility based in Lakeside, CA. Thomas Hathorn practices in Lakeside, CA. The NPI Number for Thomas Hathorn is 1093118176 and holds a License No. 370139AN (California).

The current practice location address for Thomas Hathorn is 24352 Featherstone Canyon Rd., Lakeside, CA and can be reached out via phone at 619-797-7319.

Location: 24352 Featherstone Canyon Rd., Lakeside, CA, 92040-0908

NPI Number

1093118176

Provider Name

Thomas Hathorn

Credential

Provider Entity Type

Individual

Gender

Male

Address

24352 Featherstone Canyon Rd., Lakeside, CA, 92040-0908

Phone Number

619-797-7319

Fax Number

Provider Enumeration Date

10/02/2014

Last Update Date

03/09/2024

Address

24352 Featherstone Canyon Rd.

City

Lakeside

State

California

Zip

92040

Phone Number

619-797-7319

Fax Number

Address

24352 Featherstone Canyon Rd.

City

Lakeside

State

California

Zip

92040

Phone Number

619-797-7319

Fax Number

Type

Residential Treatment Facilities

Classification

Substance Abuse Rehabilitation Facility

Speciality

Taxonomy

324500000X

License No.

370139AN (California)

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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