| Cat - Epsdt | |
|
430 F St Chula Vista CA 91910-3711 | |
| (619) 420-3620 | |
| (619) 420-8722 |
| Full Name | Cat - Epsdt |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 430 F St, Chula Vista, California |
| Authorized Official Name and Position | Kathryn Lembo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6194203620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cat - Epsdt 430 F St Chula Vista CA 91910-3711 Ph: (619) 420-3620 | Cat - Epsdt 430 F St Chula Vista CA 91910-3711 Ph: (619) 420-3620 |
| NPI Number | 1972656056 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 08/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972656056 | NPI | - | NPPES |
| 37GA | Other | CA | DMH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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