Childnet Sed | |
1002 E Grand Ave Escondido CA 92025-4605 | |
(760) 741-2660 | |
(760) 741-2647 |
Full Name | Childnet Sed |
---|---|
Speciality | Community/behavioral Health |
Location | 1002 E Grand Ave, Escondido, California |
Authorized Official Name and Position | Lisa Turner (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7607412660 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Childnet Sed 1002 E Grand Ave Escondido CA 92025-4605 Ph: (760) 741-2660 | Childnet Sed 1002 E Grand Ave Escondido CA 92025-4605 Ph: (760) 741-2660 |
NPI Number | 1063613024 |
---|---|
Provider Enumeration Date | 05/29/2007 |
Last Update Date | 10/01/2024 |
Certification Date | 10/01/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063613024 | NPI | - | NPPES |
37H8 | Other | CA | MEDI-CAL PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (California) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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