| Project Enable Mental Health Program | |
|
286 Euclid Ave Ste 102 San Diego CA 92114-3611 | |
| (619) 266-2111 | |
| (619) 226-2111 |
| Full Name | Project Enable Mental Health Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 286 Euclid Ave Ste 102, San Diego, California |
| Authorized Official Name and Position | Gerardo Angel Godinez (MANAGER) |
| Authorized Official Contact | 6198596270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Enable Mental Health Program 5660 Copley Dr San Diego CA 92111-7902 Ph: (858) 715-2642 | Project Enable Mental Health Program 286 Euclid Ave Ste 102 San Diego CA 92114-3611 Ph: (619) 266-2111 |
| NPI Number | 1982723292 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 06/13/2024 |
| Certification Date | 06/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982723292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 19312396 (California) | Primary |
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