Mount Empire Union Teen Recovery Center | |
7454 Pine Boulevard Pine Valley CA 91962-0571 | |
(619) 588-5361 | |
(619) 588-5421 |
Full Name | Mount Empire Union Teen Recovery Center |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 7454 Pine Boulevard, Pine Valley, California |
Authorized Official Name and Position | Marisa Varond (CEO) |
Authorized Official Contact | 6194420277 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mount Empire Union Teen Recovery Center 1400 N Johnson Ave Ste 101 El Cajon CA 92020-1651 Ph: (619) 442-0277 | Mount Empire Union Teen Recovery Center 7454 Pine Boulevard Pine Valley CA 91962-0571 Ph: (619) 588-5361 |
NPI Number | 1124378708 |
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Provider Enumeration Date | 09/11/2012 |
Last Update Date | 10/28/2024 |
Certification Date | 10/22/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124378708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |