Provider Demographics
NPI:1194376772
Name:UNEXPECTED POSSIBILITIES ARF LLC
Entity Type:Organization
Organization Name:UNEXPECTED POSSIBILITIES ARF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LORETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:TALIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-880-8222
Mailing Address - Street 1:807 BENNY WAY
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92019-3100
Mailing Address - Country:US
Mailing Address - Phone:619-880-8222
Mailing Address - Fax:
Practice Address - Street 1:807 BENNY WAY
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92019-3100
Practice Address - Country:US
Practice Address - Phone:619-880-8222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-24
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health