Provider Demographics
NPI:1689881112
Name:OPTIONS
Entity Type:Organization
Organization Name:OPTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER-ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:OTR-L
Authorized Official - Phone:619-280-8585
Mailing Address - Street 1:3435 CAMINO DEL RIO S
Mailing Address - Street 2:SUITE # 107
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3902
Mailing Address - Country:US
Mailing Address - Phone:619-280-8585
Mailing Address - Fax:619-280-8641
Practice Address - Street 1:3435 CAMINO DEL RIO S
Practice Address - Street 2:SUITE # 107
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3902
Practice Address - Country:US
Practice Address - Phone:619-280-8585
Practice Address - Fax:619-280-8641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT4729261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health