| Teen Recovery Center - Fallbrook | |
|
2400 S Stage Coach Ln Fallbrook CA 92028-4429 | |
| (760) 744-3672 | |
| Not Available |
| Full Name | Teen Recovery Center - Fallbrook |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2400 S Stage Coach Ln, Fallbrook, California |
| Authorized Official Name and Position | James C Callaghan (PRESIDENT/CEO) |
| Authorized Official Contact | 8585732600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teen Recovery Center - Fallbrook 9465 Farnham St San Diego CA 92123-1308 Ph: (858) 573-2600 | Teen Recovery Center - Fallbrook 2400 S Stage Coach Ln Fallbrook CA 92028-4429 Ph: (760) 744-3672 |
| NPI Number | 1932630977 |
|---|---|
| Provider Enumeration Date | 03/22/2017 |
| Last Update Date | 08/27/2020 |
| Certification Date | 08/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932630977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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