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311 E Washington Ave Ste 103&104 Escondido CA 92025-2816 | |
(858) 565-2510 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 311 E Washington Ave Ste 103&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 St San Diego CA 92123-1308 Ph: (858) 573-2600 | 311 E Washington Ave Ste 103&104 Escondido CA 92025-2816 Ph: (858) 565-2510 |
NPI Number | 1487916755 |
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Provider Enumeration Date | 06/13/2012 |
Last Update Date | 01/17/2023 |
Certification Date | 01/17/2023 |
Identifier | Type | State | Issuer |
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1487916755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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