| |
408 Cassidy St Ste 103 Oceanside CA 92054-5316 | |
(760) 439-4577 | |
Not Available |
Full Name | |
---|---|
Speciality | Community/behavioral Health |
Location | 408 Cassidy St Ste 103, Oceanside, 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 |
---|---|
408 Cassidy St Ste 103 Oceanside CA 92054-5316 Ph: () - | 408 Cassidy St Ste 103 Oceanside CA 92054-5316 Ph: (760) 439-4577 |
NPI Number | 1871017574 |
---|---|
Provider Enumeration Date | 08/03/2017 |
Last Update Date | 10/31/2022 |
Certification Date | 10/31/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871017574 | NPI | - | NPPES |
37Q8 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
North County Lifeline Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 Oceanside Blvd, Oceanside, CA 92054 Phone: 760-757-0118 Fax: 760-757-0196 | |
Katrina Harris Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1423 Belmont Park Rd, Oceanside, CA 92057 Phone: 949-400-2182 | |
Del Mar Support Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1523 San Mateo St, Oceanside, CA 92058 Phone: 910-378-2501 |