Full Name | |
---|---|
Speciality | Community/behavioral Health |
Location | 490 N Grape St, Escondido, California |
Authorized Official Name and Position | Bob Marchetti (CFO) |
Authorized Official Contact | 6192750822 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
490 N Grape St Escondido CA 92025 Ph: () - | 490 N Grape St Escondido CA 92025 Ph: (619) 275-0822 |
NPI Number | 1124474366 |
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Provider Enumeration Date | 05/06/2016 |
Last Update Date | 07/29/2021 |
Certification Date | 07/29/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124474366 | NPI | - | NPPES |
37QW | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Cep America - Neurology Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2185 Citracado Pkwy, Escondido, CA 92029 Phone: 442-281-5000 | |
Milestones Children's Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1785 S Escondido Blvd Ste A, Escondido, CA 92025 Phone: 760-740-0055 | |