Provider Demographics
NPI:1982723292
Name:THE NEIGHBORHOOD HOUSE ASSN
Entity Type:Organization
Organization Name:THE NEIGHBORHOOD HOUSE ASSN
Other - Org Name:PROJECT ENABLE MENTAL HEALTH PROGRAM
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-715-2624
Mailing Address - Street 1:5660 COPLEY DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-7902
Mailing Address - Country:US
Mailing Address - Phone:858-715-2642
Mailing Address - Fax:858-715-2677
Practice Address - Street 1:286 EUCLID AVE STE 102
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92114-3611
Practice Address - Country:US
Practice Address - Phone:619-266-2111
Practice Address - Fax:619-226-2111
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE NEIGHBORHOOD HOUSE ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-28
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19312396251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health