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1012 Main St Ste 101 Ramona CA 92065-2170 | |
(760) 788-9724 | |
(760) 788-9754 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1012 Main St Ste 101, Ramona, California |
Authorized Official Name and Position | David Taylor (SR. OPERATIONS DIRECTOR) |
Authorized Official Contact | 7604458211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1012 Main St Ste 101 Ramona CA 92065-2170 Ph: (760) 788-9724 | 1012 Main St Ste 101 Ramona CA 92065-2170 Ph: (760) 788-9724 |
NPI Number | 1467717967 |
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Provider Enumeration Date | 07/10/2012 |
Last Update Date | 10/07/2022 |
Certification Date | 10/07/2022 |
Identifier | Type | State | Issuer |
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1467717967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Mindful Living Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24340 Ca-78, Ramona, CA 95065 Phone: 619-341-9007 Fax: 619-354-2157 | |