| Clinic Ovis Psychological Group Pc | |
|
405 Whispering Willow Dr Unit E Santee CA 92071-6927 | |
| (858) 859-8339 | |
| Not Available |
| Full Name | Clinic Ovis Psychological Group Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 405 Whispering Willow Dr Unit E, Santee, California |
| Authorized Official Name and Position | Cody Lind Gustaveson (PRESIDENT) |
| Authorized Official Contact | 6196365020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinic Ovis Psychological Group Pc 8697 La Mesa Blvd Ste C-547 La Mesa CA 91942-9565 Ph: (619) 636-5020 | Clinic Ovis Psychological Group Pc 405 Whispering Willow Dr Unit E Santee CA 92071-6927 Ph: (858) 859-8339 |
| NPI Number | 1144064775 |
|---|---|
| Provider Enumeration Date | 06/19/2024 |
| Last Update Date | 06/19/2024 |
| Certification Date | 06/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144064775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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