| |
2125 Citracado Pkwy Ste 200 Escondido CA 92029-4159 | |
(760) 294-9270 | |
(760) 294-9268 |
Full Name | |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 2125 Citracado Pkwy Ste 200, Escondido, California |
Authorized Official Name and Position | James Uli (SR. VP, CFO) |
Authorized Official Contact | 8589665824 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3020 Childrens Way # Mc5097 San Diego CA 92123-4223 Ph: (858) 576-1700 | 2125 Citracado Pkwy Ste 200 Escondido CA 92029-4159 Ph: (760) 294-9270 |
NPI Number | 1801923941 |
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Provider Enumeration Date | 02/27/2007 |
Last Update Date | 01/22/2025 |
Certification Date | 01/22/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801923941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | 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 | |