| Fidare Health Co | |
|
3434 Grove St Lemon Grove CA 91945-1812 | |
| (619) 782-0011 | |
| Not Available |
| Full Name | Fidare Health Co |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3434 Grove St, Lemon Grove, California |
| Authorized Official Name and Position | Jonathon Wheaton (AUTHORIZED OFFICER) |
| Authorized Official Contact | 6197820011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fidare Health Co 2358 University Ave Ste 371 San Diego CA 92104-2720 Ph: () - | Fidare Health Co 3434 Grove St Lemon Grove CA 91945-1812 Ph: (619) 782-0011 |
| NPI Number | 1417760364 |
|---|---|
| Provider Enumeration Date | 01/27/2025 |
| Last Update Date | 01/27/2025 |
| Certification Date | 01/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417760364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Advanced Behavioral Interventions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2301 Bonita St, Lemon Grove, CA 91945 Phone: 619-246-6471 | |
B.r.i.t.e. Cc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2185 El Prado Ave, Lemon Grove, CA 91945 Phone: 858-289-0787 | |