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5520 Wellesley St Ste 100 La Mesa CA 91942-4401 | |
| (615) 630-2065 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5520 Wellesley St Ste 100, La Mesa, California |
| Authorized Official Name and Position | Katy Hoslar (PRESIDENT) |
| Authorized Official Contact | 8582209519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
785 Grand Ave Ste 101 Carlsbad CA 92008-2370 Ph: () - | 5520 Wellesley St Ste 100 La Mesa CA 91942-4401 Ph: (615) 630-2065 |
| NPI Number | 1902614019 |
|---|---|
| Provider Enumeration Date | 12/20/2024 |
| Last Update Date | 12/20/2024 |
| Certification Date | 12/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902614019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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