| Na Incredible Families South | |
|
730 Medical Center Ct Chula Vista CA 91911-6618 | |
| (619) 863-5700 | |
| Not Available |
| Full Name | Na Incredible Families South |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 730 Medical Center Ct, Chula Vista, California |
| Authorized Official Name and Position | Linda M Nichols (QA DIRECTOR) |
| Authorized Official Contact | 6198928700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Na Incredible Families South Po Box 34219 San Diego CA 92163-4219 Ph: () - | Na Incredible Families South 730 Medical Center Ct Chula Vista CA 91911-6618 Ph: (619) 863-5700 |
| NPI Number | 1134774128 |
|---|---|
| Provider Enumeration Date | 08/06/2019 |
| Last Update Date | 11/16/2020 |
| Certification Date | 11/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134774128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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