Provider Demographics
NPI:1376354217
Name:METANOIA GROUP
Entity type:Organization
Organization Name:METANOIA GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:R
Authorized Official - Last Name:TOWNES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:858-500-2434
Mailing Address - Street 1:9663 TIERRA GRANDE ST STE 104
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-4569
Mailing Address - Country:US
Mailing Address - Phone:858-500-2434
Mailing Address - Fax:858-815-6646
Practice Address - Street 1:9663 TIERRA GRANDE ST STE 104
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-4569
Practice Address - Country:US
Practice Address - Phone:858-500-2434
Practice Address - Fax:858-815-6646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty