| North County Center For Change | |
|
504 W Vista Way Vista CA 92083-5704 | |
| (760) 940-1836 | |
| (760) 940-1274 |
| Full Name | North County Center For Change |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 504 W Vista Way, Vista, 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 |
|---|---|
| North County Center For Change 9465 Farnham San Diego CA 92123 Ph: (858) 573-2600 | North County Center For Change 504 W Vista Way Vista CA 92083-5704 Ph: (760) 940-1836 |
| NPI Number | 1821126897 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 08/27/2020 |
| Certification Date | 08/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821126897 | NPI | - | NPPES |
| 3737 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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