Varsity Team, Incorporated | |
602 S 18th St Brawley CA 92227-2859 | |
(760) 623-7131 | |
(619) 362-9532 |
Full Name | Varsity Team, Incorporated |
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Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
Location | 602 S 18th St, Brawley, California |
Authorized Official Name and Position | Drew Dahlstedt (CFO/COO) |
Authorized Official Contact | 6196946809 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Varsity Team, Incorporated Po Box 26633 San Diego CA 92196-0633 Ph: (619) 694-6809 | Varsity Team, Incorporated 602 S 18th St Brawley CA 92227-2859 Ph: (760) 623-7131 |
NPI Number | 1245814151 |
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Provider Enumeration Date | 05/06/2021 |
Last Update Date | 05/06/2021 |
Certification Date | 05/06/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245814151 | NPI | - | NPPES |
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