| South Teen Recovery Center | |
|
371 E St Chula Vista CA 91910-2615 | |
| (619) 691-1045 | |
| (619) 691-1491 |
| Full Name | South Teen Recovery Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 371 E St, Chula Vista, California |
| Authorized Official Name and Position | Jeanne Mcalister (CEO) |
| Authorized Official Contact | 6194420277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Teen Recovery Center 1400 N Johnson Ave El Cajon CA 92020-1650 Ph: () - | South Teen Recovery Center 371 E St Chula Vista CA 91910-2615 Ph: (619) 691-1045 |
| NPI Number | 1588912182 |
|---|---|
| Provider Enumeration Date | 08/29/2012 |
| Last Update Date | 01/04/2022 |
| Certification Date | 01/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588912182 | NPI | - | NPPES |
| 378542 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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