| Ecbhc School Based Epsdt | |
|
1870 Cordell Ct Suite 101 El Cajon CA 92020-0914 | |
| (619) 448-9700 | |
| (619) 448-9711 |
| Full Name | Ecbhc School Based Epsdt |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1870 Cordell Ct, El Cajon, California |
| Authorized Official Name and Position | Walter Philips (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6192218601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ecbhc School Based Epsdt 3255 Wing St San Diego CA 92110-4638 Ph: (619) 221-8601 | Ecbhc School Based Epsdt 1870 Cordell Ct Suite 101 El Cajon CA 92020-0914 Ph: (619) 448-9700 |
| NPI Number | 1194972174 |
|---|---|
| Provider Enumeration Date | 08/21/2008 |
| Last Update Date | 04/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194972174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 37GC (California) | Primary |
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