Substance Abuse Rehabilitation Program

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 25227 Issued in CA

Legal business name

SUBSTANCE ABUSE REHABILITATION PROGRAM

Practice address

34800 Bob Wilson Dr
Nmcsd, Attn: Medical Staff Services
San Diego, CA 92134-1098

Phone

(619) 556-7635

Fax

(619) 556-9842

NPI assigned

Jan 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Mary R Williamson Coe, M.A., MFT

Title

Lip/Clinic Head

Phone

(619) 556-7635

Specialties & licenses 1

Addresses

Other names 1

• SARP Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962473009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "address_2": "NMCSD, ATTN: MEDICAL STAFF SERVICES",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341098",
            "telephone_number": "619-556-7635",
            "fax_number": "619-556-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "address_2": "NMCSD, ATTN: MEDICAL STAFF SERVICES",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341098",
            "telephone_number": "619-556-7635",
            "fax_number": "619-556-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBSTANCE ABUSE REHABILITATION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON COE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LIP/CLINIC HEAD",
        "authorized_official_telephone_number": "619-556-7635",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 25227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SARP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Sublett, MA, BCBA
• Erica Sublette
• Connor James Subocz-Quinn, DC
• Ramya Bala Subramanian, DDS
• Rachna A. Subramony, MD
• Courtney Sucameli
• Zoe Cristina Suciu, DDS
• Gabriel Sudaj, AUD
• Liliana Sudak
• Anisha Sudan, DDS

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.