| |
1816 Portofino Dr Oceanside CA 92054-6130 | |
(760) 433-6361 | |
(760) 439-7402 |
Full Name | |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 1816 Portofino Dr, Oceanside, California |
Authorized Official Name and Position | Beverly Boone (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7604336361 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1816 Portofino Dr Oceanside CA 92054-6130 Ph: (760) 433-6361 | 1816 Portofino Dr Oceanside CA 92054-6130 Ph: (760) 433-6361 |
NPI Number | 1568094084 |
---|---|
Provider Enumeration Date | 02/12/2020 |
Last Update Date | 10/05/2023 |
Certification Date | 09/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568094084 | NPI | - | NPPES |
North County Lifeline Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 Oceanside Blvd, Oceanside, CA 92054 Phone: 760-757-0118 Fax: 760-757-0196 | |
Katrina Harris Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1423 Belmont Park Rd, Oceanside, CA 92057 Phone: 949-400-2182 | |
Del Mar Support Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1523 San Mateo St, Oceanside, CA 92058 Phone: 910-378-2501 |