| Yucca Valley Center For Change | |
|
58945 Business Center Dr Suites J, N, & P Yucca Valley CA 92284-7307 | |
| (909) 872-0223 | |
| Not Available |
| Full Name | Yucca Valley Center For Change |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 58945 Business Center Dr, Yucca Valley, California |
| Authorized Official Name and Position | James C. Callaghan (PRESIDENT/CEO) |
| Authorized Official Contact | 8585732600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yucca Valley Center For Change 9465 Farnham St San Diego CA 92123 Ph: (858) 573-2600 | Yucca Valley Center For Change 58945 Business Center Dr Suites J, N, & P Yucca Valley CA 92284-7307 Ph: (909) 872-0223 |
| NPI Number | 1235577396 |
|---|---|
| Provider Enumeration Date | 06/11/2013 |
| Last Update Date | 08/26/2020 |
| Certification Date | 08/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235577396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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