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PROSPEROUS HEALTH SAN DIEGO TRANSFORMATION CENTER

San Diego, CA

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Facility contact

Main phone
(833) 364-4722 Source
Directory address
9909 HUENNEKENS ST., SUITE 110, 225, 230 Source
ZIP code
92121 Source
Map precision
California DHCS ArcGIS regulator geometry Source

California state authorization

State authority
California Department of Health Care Services Source
DHCS application number
370256AP Source
DHCS authorization type
Certified Source
Listed expiration date
2027-10-31 Source
DHCS program code
NON-DETOX Source
Legal entity
PROSPEROUS HEALTH SAN DIEGO, LLC Source
County
San Diego County Source
DHCS target population
1.1 --- CO-ED Source
Incidental medical services
No Source
Adolescent waiver
No Source

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