Provider Demographics
NPI:1629434311
Name:VETERANS FOUNDATION, INC.
Entity Type:Organization
Organization Name:VETERANS FOUNDATION, INC.
Other - Org Name:INSTITUTE FOR INTEGRATIVE THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDEN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:760-472-3950
Mailing Address - Street 1:5256 S MISSION RD
Mailing Address - Street 2:SUITE 703-807
Mailing Address - City:BONSALL
Mailing Address - State:CA
Mailing Address - Zip Code:92003-3614
Mailing Address - Country:US
Mailing Address - Phone:760-472-3950
Mailing Address - Fax:760-472-3949
Practice Address - Street 1:5955 LAKE VISTA DR
Practice Address - Street 2:
Practice Address - City:BONSALL
Practice Address - State:CA
Practice Address - Zip Code:92003-6104
Practice Address - Country:US
Practice Address - Phone:760-472-3950
Practice Address - Fax:760-472-3949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 10658251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health