Provider Demographics
NPI:1669655247
Name:CATALYST THERAPY, INC.
Entity type:Organization
Organization Name:CATALYST THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/EXE. CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRETSCH
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:760-944-7870
Mailing Address - Street 1:543 ENCINITAS BLVD
Mailing Address - Street 2:STE. 113
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-3744
Mailing Address - Country:US
Mailing Address - Phone:760-944-7870
Mailing Address - Fax:760-944-4265
Practice Address - Street 1:543 ENCINITAS BLVD
Practice Address - Street 2:STE. 113
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-3744
Practice Address - Country:US
Practice Address - Phone:760-944-7870
Practice Address - Fax:760-944-4265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty