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ETHRIDGE RECOVERY CENTER
NPI 1497230429
Clinic/Center - Rehabilitation, Substance Use Disorder in San Diego, CA

Active since September 25, 2018
405 63RD ST, SAN DIEGO, CA 92114(619) 231-6361 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethridge Recovery Center NPPES

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

ETHRIDGE RECOVERY CENTER (NPI 1497230429), doing business as Ethridge, is a healthcare organization registered as a rehabilitation, substance use disorder in San Diego, California and active in the NPI registry since September 2018. The organization lists Willard Richard Stroud, Counselor, as its authorized official.

NPPES Registry Identity

NPI1497230429
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameETHRIDGE RECOVERY CENTER
Location Address405 63RD STSan Diego, CA 92114-4237
Mailing Address405 63rd StSan Diego, CA 92114-4237 · (619) 231-6361
Phone(619) 231-6361
Organization SubpartNo
Authorized OfficialWillard Richard StroudCounselor · (619) 231-6361
Enumeration DateSeptember 25, 2018
✔ NPI 1497230429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
405 63RD ST, San Diego, CA 92114
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Other Names 1

Doing Business AsEthridge

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 Ethridge Recovery Center's NPI number?

The NPI number for Ethridge Recovery Center is 1497230429. It was assigned to this organization in the NPPES registry on September 25, 2018. The provider is doing business as Ethridge.

Where is Ethridge Recovery Center located?

Ethridge Recovery Center is located at 405 63rd St, San Diego, CA 92114. The listed phone number is (619) 231-6361.

What is Ethridge Recovery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Ethridge Recovery Center was last updated on September 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.