Ethridge Recovery Center
NPI 1497230429 · Substance Use Disorder Rehabilitation Clinic/Center · San Diego, CA
Ethridge Recovery Center is a Substance Use Disorder Rehabilitation Clinic/Center organization in San Diego, CA (NPI 1497230429).
Provider details
- NPI number
- 1497230429
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Willard Stroud, Counselor(619) 231-6361
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Ethridge
Registry dates
- Enumerated
- 2018-09-25
- Last updated
- 2018-09-25
Frequently asked questions
- What is Ethridge Recovery Center's NPI number?
- Ethridge Recovery Center's National Provider Identifier (NPI) is 1497230429, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ethridge Recovery Center?
- Ethridge Recovery Center is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ethridge Recovery Center located?
- Ethridge Recovery Center's practice location on file with NPPES is 405 63rd St, San Diego, CA 92114-4237.
- What is Ethridge Recovery Center's phone number?
- The practice phone number listed in the NPPES registry for Ethridge Recovery Center is (619) 231-6361.
- Who is the authorized official for Ethridge Recovery Center?
- The authorized official listed on Ethridge Recovery Center's NPPES record is Willard Stroud, Counselor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ethridge Recovery Center's NPI active?
- Yes — Ethridge Recovery Center's NPI (1497230429) is active in the NPPES registry as of the last update on 2018-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.