Poway Sub | |
12951 Metate Lane Poway CA 92064 | |
(858) 748-3610 | |
(858) 748-3617 |
Full Name | Poway Sub |
---|---|
Speciality | Community/behavioral Health |
Location | 12951 Metate Lane, Poway, California |
Authorized Official Name and Position | Irene Saper (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7607412660 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Poway Sub 12951 Metate Lane Poway CA 92064 Ph: (858) 748-3610 | Poway Sub 12951 Metate Lane Poway CA 92064 Ph: (858) 748-3610 |
NPI Number | 1952521148 |
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Provider Enumeration Date | 04/27/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952521148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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