| Madison Teen Recovery Center | |
|
4833 Doliva Dr San Diego CA 92117-3299 | |
| (858) 277-4633 | |
| (858) 277-4933 |
| Full Name | Madison Teen Recovery Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4833 Doliva Dr, San Diego, California |
| Authorized Official Name and Position | Jeanne Audrey Mcalister (FOUNDER AND CEO) |
| Authorized Official Contact | 6194420277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Teen Recovery Center 1400 N Johnson Ave Ste 101 El Cajon CA 92020-1650 Ph: (619) 442-0277 | Madison Teen Recovery Center 4833 Doliva Dr San Diego CA 92117-3299 Ph: (858) 277-4633 |
| NPI Number | 1780053173 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 11/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780053173 | NPI | - | NPPES |
| 8537 | Medicaid | CA |
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