| Monte Vista Teen Recovery Center | |
|
3230 Sweetwater Springs Blvd Spring Valley CA 91977-6934 | |
| (619) 588-5361 | |
| (619) 588-5421 |
| Full Name | Monte Vista Teen Recovery Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3230 Sweetwater Springs Blvd, Spring Valley, California |
| Authorized Official Name and Position | Jeanne Mcalister (CEO) |
| Authorized Official Contact | 6194420277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monte Vista Teen Recovery Center 1400 N Johnson Ave Ste 101 El Cajon CA 92020-1651 Ph: () - | Monte Vista Teen Recovery Center 3230 Sweetwater Springs Blvd Spring Valley CA 91977-6934 Ph: (619) 588-5361 |
| NPI Number | 1871835470 |
|---|---|
| Provider Enumeration Date | 03/21/2013 |
| Last Update Date | 12/17/2021 |
| Certification Date | 12/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871835470 | NPI | - | NPPES |
| 378558 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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