| |
940 E Valley Pkwy Suite D Escondido CA 92025 | |
(760) 747-0205 | |
(760) 747-0582 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 940 E Valley Pkwy, 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 |
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9465 Farnham St San Diego CA 92123-1308 Ph: (858) 573-2600 | 940 E Valley Pkwy Suite D Escondido CA 92025 Ph: (760) 747-0205 |
NPI Number | 1356480057 |
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Provider Enumeration Date | 02/06/2007 |
Last Update Date | 08/26/2020 |
Certification Date | 08/26/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356480057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 152155 (California) | Primary |
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