| Halcyon Center | |
|
1664 Broadway El Cajon CA 92021-5201 | |
| (619) 579-8685 | |
| (619) 579-1969 |
| Full Name | Halcyon Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1664 Broadway, El Cajon, 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 |
|---|---|
| Halcyon Center 1664 Broadway El Cajon CA 92021-5201 Ph: (619) 579-8685 | Halcyon Center 1664 Broadway El Cajon CA 92021-5201 Ph: (619) 579-8685 |
| NPI Number | 1831212398 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 07/29/2021 |
| Certification Date | 07/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831212398 | NPI | - | NPPES |
| 8528 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 8528 (California) | Primary |
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