| Therapeutic Behavioral Services | |
|
1000 Broadway Suite 105 El Cajon CA 92021-4899 | |
| (619) 401-4630 | |
| (619) 401-4627 |
| Full Name | Therapeutic Behavioral Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1000 Broadway, El Cajon, California |
| Authorized Official Name and Position | Alfredo Aguirre (DEPUTY DIRECTOR MENTAL HEALTH SRVC) |
| Authorized Official Contact | 6195632711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Behavioral Services Po Box 85524 Ms P-503 San Diego CA 92186-5524 Ph: (619) 401-4630 | Therapeutic Behavioral Services 1000 Broadway Suite 105 El Cajon CA 92021-4899 Ph: (619) 401-4630 |
| NPI Number | 1366597601 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366597601 | NPI | - | NPPES |
| 37ED | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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