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8324 Allison Ave La Mesa CA 91942-9307 | |
| (619) 558-5150 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8324 Allison Ave, La Mesa, California |
| Authorized Official Name and Position | Rachel Mesches (DIRECTOR OF GRANTS & CONTRACTS) |
| Authorized Official Contact | 7608426251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
200 Michigan Ave Vista CA 92084-5424 Ph: () - | 8324 Allison Ave La Mesa CA 91942-9307 Ph: (619) 558-5150 |
| NPI Number | 1134857204 |
|---|---|
| Provider Enumeration Date | 08/08/2022 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134857204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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