| North County Outpatient School Based Services | |
|
1529 Grand Ave Ste A San Marcos CA 92078-2464 | |
| (619) 804-6002 | |
| Not Available |
| Full Name | North County Outpatient School Based Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1529 Grand Ave Ste A, San Marcos, California |
| Authorized Official Name and Position | Michael E Bruich (CEO) |
| Authorized Official Contact | 6195430293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North County Outpatient School Based Services Po Box 34219 San Diego CA 92163-4219 Ph: () - | North County Outpatient School Based Services 1529 Grand Ave Ste A San Marcos CA 92078-2464 Ph: (619) 804-6002 |
| NPI Number | 1336352780 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 09/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336352780 | NPI | - | NPPES |
| 37FN | Other | CA | CAJON VALLEY PROGRAM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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