| East County Regional Recovery Center Satelllite | |
|
1365 N Johnson Ave 111, 112 & 113 El Cajon CA 92020-1676 | |
| (619) 440-4801 | |
| Not Available |
| Full Name | East County Regional Recovery Center Satelllite |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1365 N Johnson Ave, El Cajon, California |
| Authorized Official Name and Position | Jeanne Mcalister (CEO) |
| 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 Satelllite 1400 N Johnson Ave 101 El Cajon CA 92020-1650 Ph: (619) 442-0277 | East County Regional Recovery Center Satelllite 1365 N Johnson Ave 111, 112 & 113 El Cajon CA 92020-1676 Ph: (619) 440-4801 |
| NPI Number | 1033529540 |
|---|---|
| Provider Enumeration Date | 05/06/2014 |
| Last Update Date | 09/02/2020 |
| Certification Date | 09/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033529540 | NPI | - | NPPES |
| 37-8774 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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