| Crest Community Program | |
|
140 Arbor Dr San Diego CA 92103-2007 | |
| (619) 543-6904 | |
| Not Available |
| Full Name | Crest Community Program |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 140 Arbor Dr, San Diego, California |
| Authorized Official Name and Position | Robin Samit (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8588223474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crest Community Program 9500 Gilman Dr Mc 0602 La Jolla CA 92093-0602 Ph: () - | Crest Community Program 140 Arbor Dr San Diego CA 92103-2007 Ph: (619) 543-6904 |
| NPI Number | 1811447790 |
|---|---|
| Provider Enumeration Date | 10/04/2016 |
| Last Update Date | 10/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811447790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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