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474 W Vermont Ave Ste 104 Escondido CA 92025-6584 | |
(760) 432-9884 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 474 W Vermont Ave Ste 104, Escondido, California |
Authorized Official Name and Position | James C. Callaghan (PRESIDENT/CEO) |
Authorized Official Contact | 8585732600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9465 Farnham San Diego CA 92123 Ph: (858) 573-2600 | 474 W Vermont Ave Ste 104 Escondido CA 92025-6584 Ph: (760) 432-9884 |
NPI Number | 1467595272 |
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Provider Enumeration Date | 02/14/2007 |
Last Update Date | 08/26/2020 |
Certification Date | 08/26/2020 |
Identifier | Type | State | Issuer |
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1467595272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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