Include Autism | |
15318 Pomerado Rd Poway CA 92064-2436 | |
(858) 603-5840 | |
Not Available |
Full Name | Include Autism |
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Speciality | Community/behavioral Health |
Location | 15318 Pomerado Rd, Poway, California |
Authorized Official Name and Position | Ashley Ramos (PROGRAM ADMINISTRATOR) |
Authorized Official Contact | 8586034812 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Include Autism Po Box 720072 San Diego CA 92172-0072 Ph: (858) 603-4812 | Include Autism 15318 Pomerado Rd Poway CA 92064-2436 Ph: (858) 603-5840 |
NPI Number | 1487191466 |
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Provider Enumeration Date | 01/27/2017 |
Last Update Date | 01/27/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487191466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (California) | Primary |
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