Provider Demographics
NPI:1508468430
Name:NATIONAL ASSOCIATION FOR THE TREATMENT OF SEXUAL ABUSE
Entity Type:Organization
Organization Name:NATIONAL ASSOCIATION FOR THE TREATMENT OF SEXUAL ABUSE
Other - Org Name:CIRCLE OF FRIENDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YOSHITA
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:CONRAD
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:858-353-6357
Mailing Address - Street 1:1223 SARAHFAYE CT
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-2128
Mailing Address - Country:US
Mailing Address - Phone:760-737-0553
Mailing Address - Fax:760-735-2922
Practice Address - Street 1:1223 SARAHFAYE CT
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-2128
Practice Address - Country:US
Practice Address - Phone:760-737-0553
Practice Address - Fax:760-735-2922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-16
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children