REJUVE-NATIONS OUTPATIENTS FACILITY, INC.
NPI 1043679095
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Q: What is Rejuve-Nations Outpatients Facility, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since February 18, 2016

4101 UNIVERSITY AVE, STUITE E204, E205, SAN DIEGO, CA 92105(619) 602-9405(951) 657-7180 Get Directions Write a Review

NPPES record last updated: February 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Rejuve-nations Outpatients Facility, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REJUVE-NATIONS OUTPATIENTS FACILITY, INC. (NPI 1043679095) is a healthcare organization registered as an addiction (substance use disorder) in San Diego, California and active in the NPI registry since February 2016. The organization lists Brenda Leonor Squarrel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043679095

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameREJUVE-NATIONS OUTPATIENTS FACILITY, INC.

Location Address4101 UNIVERSITY AVE, STUITE E204, E205San Diego, CA 92105-1418

Mailing AddressPo Box 152841San Diego, CA 92195-2841 · (619) 602-9405 · Fax (951) 657-7180

Phone(619) 602-9405

Fax(951) 657-7180

Organization SubpartNo

Authorized OfficialBrenda Leonor SquarrelCeo · (619) 602-9405

Enumeration DateFebruary 18, 2016

Last NPPES UpdateFebruary 19, 2016

✔ NPI 1043679095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · 370105AN

4101 UNIVERSITY AVE, San Diego, CA 92105

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLM HOUSE INC

Lodging

4101 UNIVERSITY AVE
SAN DIEGO, CA 92105

San Diego County (858) 609-9073

AMANDA ASHLEY THURMAN FNP

Nurse Practitioner (Family)

4101 UNIVERSITY AVE
SAN DIEGO, CA 92105

San Diego County (619) 624-9851

MARY MARGARET ROWE FNP BC, MSN, RN

Nurse Practitioner (Family)

4101 UNIVERSITY AVE
SAN DIEGO, CA 92105

San Diego County (619) 849-7890

AMELIA LILLIAN BROADNAX

Case Manager/Care Coordinator

4101 UNIVERSITY AVE
SAN DIEGO, CA 92105

San Diego County (858) 609-9073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rejuve-Nations Outpatients Facility, Inc.'s NPI number?

The NPI number for Rejuve-Nations Outpatients Facility, Inc. is 1043679095. It was assigned to this organization in the NPPES registry on February 18, 2016.

Where is Rejuve-Nations Outpatients Facility, Inc. located?

Rejuve-Nations Outpatients Facility, Inc. is located at 4101 University Ave Stuite E204, E205, San Diego, CA 92105. The listed phone number is (619) 602-9405.

What is Rejuve-Nations Outpatients Facility, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Rejuve-Nations Outpatients Facility, Inc. was last updated on February 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.