Teen Recovery Center - North Inland | |
340 Rancheros Dr Suite 166 San Marcos CA 92069-2900 | |
(760) 744-3672 | |
(760) 744-6182 |
Full Name | Teen Recovery Center - North Inland |
---|---|
Speciality | Community/behavioral Health |
Location | 340 Rancheros Dr, San Marcos, 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 |
---|---|
Teen Recovery Center - North Inland 9465 Farnham St San Diego CA 92123 Ph: (858) 573-2600 | Teen Recovery Center - North Inland 340 Rancheros Dr Suite 166 San Marcos CA 92069-2900 Ph: (760) 744-3672 |
NPI Number | 1558485672 |
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Provider Enumeration Date | 03/16/2007 |
Last Update Date | 08/26/2020 |
Certification Date | 08/26/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558485672 | NPI | - | NPPES |
3790 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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