| Step Forward North Inland | |
|
337 W Mission Ave Escondido CA 92025-1729 | |
| (760) 745-0281 | |
| Not Available |
| Full Name | Step Forward North Inland |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 337 W Mission Ave, Escondido, 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 North Inland 500 La Terraza Blvd Ste 117 Escondido CA 92025-3875 Ph: () - | Step Forward North Inland 337 W Mission Ave Escondido CA 92025-1729 Ph: (760) 745-0281 |
| NPI Number | 1659895340 |
|---|---|
| Provider Enumeration Date | 08/03/2017 |
| Last Update Date | 02/23/2021 |
| Certification Date | 02/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659895340 | NPI | - | NPPES |
| 37Q9 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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