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Judith K Moss
Mental Illness Community Based Residential Treatment Facility in Vista, California
NPI 1417239864

Judith K Moss is a Mental Illness Community Based Residential Treatment Facility based in Vista, CA. Judith K Moss practices in Vista, CA. The NPI Number for Judith K Moss is 1417239864 and holds a License No. 374601463 (California).

The current practice location address for Judith K Moss is 2035 Alta Vista Dr, Vista, CA and can be reached out via phone at 760-724-7898 and via fax at 760-414-9127.

Location: 2035 Alta Vista Dr, Vista, CA, 92084-7017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417239864
Provider Name
Judith K Moss
Credential
Provider Entity Type
Individual
Gender
Female
Address
2035 Alta Vista Dr, Vista, CA, 92084-7017
Phone Number
760-724-7898
Fax Number
760-414-9127
Provider Enumeration Date
09/12/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2035 Alta Vista Dr
City
Vista
State
California
Zip
92084-7017
Phone Number
760-724-7898
Fax Number
760-414-9127
person
Provider Business Mailing Address Details
Address
2035 Alta Vista Dr
City
Vista
State
California
Zip
92084-7017
Phone Number
760-724-7898
Fax Number
760-414-9127
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
374601463 (California)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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