| Step Forward East | |
|
900 N Cuyamaca St Ste 110 El Cajon CA 92020-1865 | |
| (619) 448-0420 | |
| Not Available |
| Full Name | Step Forward East |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 900 N Cuyamaca St Ste 110, El Cajon, California |
| Authorized Official Name and Position | Jack Farmer (CAO) |
| Authorized Official Contact | 6192750822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Step Forward East 900 N Cuyamaca St Ste 110 El Cajon CA 92020-1865 Ph: () - | Step Forward East 900 N Cuyamaca St Ste 110 El Cajon CA 92020-1865 Ph: (619) 448-0420 |
| NPI Number | 1558885442 |
|---|---|
| Provider Enumeration Date | 08/01/2017 |
| Last Update Date | 02/23/2021 |
| Certification Date | 02/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558885442 | NPI | - | NPPES |
| 37Q8 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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