| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1 Panther Way, Vista, California |
| Authorized Official Name and Position | Ashley Moffett (COMPLIANCE OFFICER) |
| Authorized Official Contact | 7608426265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3142 Vista Way Ste 400 Oceanside CA 92056-3629 Ph: (760) 726-4900 | 1 Panther Way Vista CA 92084-3128 Ph: (760) 726-4900 |
| NPI Number | 1235804410 |
|---|---|
| Provider Enumeration Date | 08/10/2021 |
| Last Update Date | 12/06/2021 |
| Certification Date | 12/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235804410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Rowi North Orange County, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 S Melrose Dr Ste 202, Vista, CA 92081 Phone: 805-356-3372 | |
Lori J. Magnusson, Ph.d.,apc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 W Vista Way Ste 105, Vista, CA 92083 Phone: 760-634-6643 Fax: 760-634-6643 | |
North County Lifeline Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Michigan Ave, Vista, CA 92084 Phone: 760-726-4900 | |