| Headlands Addiction Treatment Services | |
|
215 S Hickory St Ste 114 Escondido CA 92025-4360 | |
| (760) 704-9429 | |
| Not Available |
| Full Name | Headlands Addiction Treatment Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 215 S Hickory St Ste 114, Escondido, California |
| Authorized Official Name and Position | Christian R Small (OWNER) |
| Authorized Official Contact | 7607049429 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Headlands Addiction Treatment Services 215 S Hickory St Ste 114 Escondido CA 92025-4360 Ph: (760) 704-9429 | Headlands Addiction Treatment Services 215 S Hickory St Ste 114 Escondido CA 92025-4360 Ph: (760) 704-9429 |
| NPI Number | 1285213132 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 05/26/2022 |
| Medicare PECOS PAC ID | 2466830013 |
|---|---|
| Medicare Enrollment ID | O20220609002342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285213132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Christian Robert Small |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740546209 PECOS PAC ID: 4587945365 Enrollment ID: I20220719001473 |
Danicare Family Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 E Grand Ave Ste 100, Escondido, CA 92025 Phone: 760-294-8898 Fax: 760-294-8827 | |
Dap Health-centro Medico Escondido-1121 Washington Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1121 E Washington Ave, Escondido, CA 92025 Phone: 760-871-0606 Fax: 760-871-3534 | |
Clinica Familia De Santa Maria Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 935 E Pennsylvania Ave, Escondido, CA 92025 Phone: 760-747-7512 | |
Planned Parenthood Of The Pacific Southwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 347 W Mission Ave, Escondido, CA 92025 Phone: 760-738-7770 | |
Escondido Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 N Ash St Ste 101, Escondido, CA 92027 Phone: 760-745-5832 Fax: 760-745-7847 | |
Centro Medico Del Carmen, A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 S Juniper St, Escondido, CA 92025 Phone: 760-480-9051 Fax: 760-480-9054 | |
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