| Che Ajal Family Counseling Center Inc. | |
|
2165 San Diego Ave Ste 101 San Diego CA 92110-2907 | |
| (619) 779-0078 | |
| (619) 407-9049 |
| Full Name | Che Ajal Family Counseling Center Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2165 San Diego Ave Ste 101, San Diego, California |
| Authorized Official Name and Position | Beverly Genoveva Fuentes (CEO) |
| Authorized Official Contact | 6197790078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Che Ajal Family Counseling Center Inc. 2165 San Diego Ave Ste 101 San Diego CA 92110-2907 Ph: (619) 779-0078 | Che Ajal Family Counseling Center Inc. 2165 San Diego Ave Ste 101 San Diego CA 92110-2907 Ph: (619) 779-0078 |
| NPI Number | 1902428089 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 05/23/2024 |
| Certification Date | 05/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902428089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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