Impact is a Community/Behavioral Health Agency based in San Diego, CA. Impact practices in San Diego, CA. The NPI Number for Impact is 1477175883 and holds a License No. (California).
The current practice location address for Impact is 1260 Morena Blvd Ste 100, San Diego, CA and can be reached out via phone at 619-232-4357.
Location: 1260 Morena Blvd Ste 100, San Diego, CA, 92110-3889
Provider Profile Details
NPI Number
1477175883
Provider Name
Impact
Credential
Provider Entity Type
Organization
Address
1260 Morena Blvd Ste 100, San Diego, CA, 92110-3889
Phone Number
619-232-4357
Fax Number
Provider Enumeration Date
05/08/2020
Last Update Date
03/13/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201902804LPN | 01 | OR | LICENSE PRACTICAL NURSE |
| 719792 | 01 | CA | CALIFORNIA BOARD OF VOCATIONAL NURSING AND PSYCHIATRIC TECHNICIANS |
| VN719792 | 01 | CA | LICENSE VOCATIONAL NURSE |
Provider Business Practice Location Address Details
Address
1260 Morena Blvd Ste 100
City
State
Zip
92110-3850
Phone Number
619-232-4357
Fax Number
Provider Business Mailing Address Details
Address
1260 Morena Blvd Ste 100
City
State
Zip
92110-3850
Phone Number
619-232-4357
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
()
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Provider's Taxonomy Details 3
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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