| Na Incredible Families North | |
|
1020 S Santa Fe Ave Ste D-1 Vista CA 92084-7000 | |
| (760) 305-8225 | |
| Not Available |
| Full Name | Na Incredible Families North |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1020 S Santa Fe Ave Ste D-1, Vista, California |
| Authorized Official Name and Position | Linda M Nichols (CCO) |
| Authorized Official Contact | 6198928700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Na Incredible Families North Po Box 34219 San Diego CA 92163-4219 Ph: () - | Na Incredible Families North 1020 S Santa Fe Ave Ste D-1 Vista CA 92084-7000 Ph: (760) 305-8225 |
| NPI Number | 1225670581 |
|---|---|
| Provider Enumeration Date | 10/08/2019 |
| Last Update Date | 11/16/2020 |
| Certification Date | 11/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225670581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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