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474 W Vermont Ave Suite 101 Escondido CA 92025-6584 | |
| (760) 480-2255 | |
| (760) 741-6645 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 474 W Vermont Ave, Escondido, California |
| Authorized Official Name and Position | James C Callaghan (PRESIDENT/CEO) |
| Authorized Official Contact | 8585732600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9465 Farnham St San Diego CA 92123-1308 Ph: (858) 573-2600 | 474 W Vermont Ave Suite 101 Escondido CA 92025-6584 Ph: (760) 480-2255 |
| NPI Number | 1023190584 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 08/26/2020 |
| Certification Date | 08/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023190584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Cep America - Neurology Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2185 Citracado Pkwy, Escondido, CA 92029 Phone: 442-281-5000 | |
Milestones Children's Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1785 S Escondido Blvd Ste A, Escondido, CA 92025 Phone: 760-740-0055 | |