| Juvenile Forensic Hillcrest House | |
|
4307 3rd Ave Suite 103 San Diego CA 92103-1407 | |
| (619) 293-7246 | |
| (619) 293-0360 |
| Full Name | Juvenile Forensic Hillcrest House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4307 3rd Ave, San Diego, California |
| Authorized Official Name and Position | Alfredo Aguirre (DEPUTY DIRECTOR, MENTAL HEALTH SRV) |
| Authorized Official Contact | 6195632711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juvenile Forensic Hillcrest House 4307 Third Ave Suite 103 San Diego CA 92103 Ph: (619) 293-7246 | Juvenile Forensic Hillcrest House 4307 3rd Ave Suite 103 San Diego CA 92103-1407 Ph: (619) 293-7246 |
| NPI Number | 1790801678 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790801678 | NPI | - | NPPES |
| 37BC | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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