Provider Demographics
NPI:1528405792
Name:COMMIT TO LIVE INC
Entity Type:Organization
Organization Name:COMMIT TO LIVE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEARS
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:619-261-7409
Mailing Address - Street 1:3435 CAMINO DEL RIO S STE 338
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3916
Mailing Address - Country:US
Mailing Address - Phone:619-261-7409
Mailing Address - Fax:619-501-1741
Practice Address - Street 1:3435 CAMINO DEL RIO S STE 338
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3916
Practice Address - Country:US
Practice Address - Phone:619-261-7409
Practice Address - Fax:619-501-1741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45845106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty