| Central South East Teen Recovery Center | |
|
1400 N Johnson Ave 101 El Cajon CA 92020-1650 | |
| (619) 442-0277 | |
| (619) 442-1101 |
| Full Name | Central South East Teen Recovery Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1400 N Johnson Ave, El Cajon, California |
| Authorized Official Name and Position | Jeanne Mcalister (CEO) |
| Authorized Official Contact | 6194420277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central South East Teen Recovery Center 1400 N Johnson Ave Ste 101 El Cajon CA 92020-1651 Ph: (619) 442-0277 | Central South East Teen Recovery Center 1400 N Johnson Ave 101 El Cajon CA 92020-1650 Ph: (619) 442-0277 |
| NPI Number | 1114338035 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 01/27/2022 |
| Certification Date | 01/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114338035 | NPI | - | NPPES |
| 0000 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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