| Otay Ranch Teen Recovery Center | |
|
1250 Olympic Pkwy Chula Vista CA 91913-1900 | |
| (619) 691-1045 | |
| (619) 662-1153 |
| Full Name | Otay Ranch Teen Recovery Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1250 Olympic Pkwy, Chula Vista, California |
| Authorized Official Name and Position | Jeanne A Mcalister (CHIEF EXECUTIVE OFFICER AND FOUNDER) |
| Authorized Official Contact | 6194420277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Otay Ranch Teen Recovery Center 1400 N Johnson Ave Ste 101 El Cajon CA 92020-1651 Ph: (619) 442-0277 | Otay Ranch Teen Recovery Center 1250 Olympic Pkwy Chula Vista CA 91913-1900 Ph: (619) 691-1045 |
| NPI Number | 1902315344 |
|---|---|
| Provider Enumeration Date | 09/28/2017 |
| Last Update Date | 06/08/2022 |
| Certification Date | 06/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902315344 | NPI | - | NPPES |
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