| East County Regional Recovery Center | |
|
1365 And 1385 N Johnson Ave Suites 111, 112, 113, 102, 103, And 104 El Cajon CA 92020-1649 | |
| (619) 440-4801 | |
| (619) 442-1592 |
| Full Name | East County Regional Recovery Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1365 And 1385 N Johnson Ave, El Cajon, California |
| Authorized Official Name and Position | Marisa Catherine Dj Varond (CHIEF EXECUTIVE OFFICE) |
| Authorized Official Contact | 6194420277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East County Regional Recovery Center 1400 N Johnson Ave Suite 101 El Cajon CA 92020-1650 Ph: (619) 442-0277 | East County Regional Recovery Center 1365 And 1385 N Johnson Ave Suites 111, 112, 113, 102, 103, And 104 El Cajon CA 92020-1649 Ph: (619) 440-4801 |
| NPI Number | 1316168719 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 08/15/2024 |
| Certification Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316168719 | NPI | - | NPPES |
| 37-8774 | Other | CA | MEDICAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 370045DN (California) | Primary |
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