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555 E Valley Pkwy Escondido CA 92025-3048 | |
(858) 675-5259 | |
(858) 675-5181 |
Full Name | |
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Speciality | Psychiatric Unit |
Location | 555 E Valley Pkwy, Escondido, California |
Authorized Official Name and Position | Diane Hansen (PRESIDENT AND CEO) |
Authorized Official Contact | 7607406385 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2125 Citracado Pkwy Ste 300 Escondido CA 92029-4159 Ph: () - | 555 E Valley Pkwy Escondido CA 92025-3048 Ph: (858) 675-5259 |
NPI Number | 1063482412 |
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Provider Enumeration Date | 01/26/2006 |
Last Update Date | 03/09/2021 |
Certification Date | 03/09/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063482412 | NPI | - | NPPES |
HSM30115F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | 080000083 (California) | Primary |
273R00000X | Psychiatric Unit | (* (Not Available)) | Secondary |
Cep America - Neurology Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2185 Citracado Pkwy, Escondido, CA 92029 Phone: 442-281-5000 | |
Milestones Children's Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1785 S Escondido Blvd Ste A, Escondido, CA 92025 Phone: 760-740-0055 | |