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Gwendolyn Marie Hamilton, RADT1
Substance Abuse Rehabilitation Facility in San Diego, California
NPI 1790241180

Gwendolyn Marie Hamilton is a Substance Abuse Rehabilitation Facility based in San Diego, CA. Gwendolyn Marie Hamilton practices in San Diego, CA and has the professional credentials of RADT1. The NPI Number for Gwendolyn Marie Hamilton is 1790241180 and holds a License No. (California).

The current practice location address for Gwendolyn Marie Hamilton is 2516 A St, San Diego, CA and can be reached out via phone at 619-235-0592.

Location: 2516 A St, San Diego, CA, 92102-2111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790241180
Provider Name
Gwendolyn Marie Hamilton
Credential
RADT1
Provider Entity Type
Individual
Gender
Female
Address
2516 A St, San Diego, CA, 92102-2111
Phone Number
619-235-0592
Fax Number
Provider Enumeration Date
02/11/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
324500000X 01 CA THE WAY BACK
institution
Provider Business Practice Location Address Details
Address
2516 A St
City
San Diego
State
California
Zip
92102-2111
Phone Number
619-235-0592
Fax Number
person
Provider Business Mailing Address Details
Address
2516 A St
City
San Diego
State
California
Zip
92102-2111
Phone Number
619-235-0592
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
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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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