| El Cajon Youth Counseling Center | |
|
680 Fletcher Pkwy Ste 200 El Cajon CA 92020-2500 | |
| (619) 515-2365 | |
| (619) 269-0598 |
| Full Name | El Cajon Youth Counseling Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 680 Fletcher Pkwy Ste 200, El Cajon, California |
| Authorized Official Name and Position | Ricardo Roman (CFO) |
| Authorized Official Contact | 6195152300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Cajon Youth Counseling Center 823 Gateway Center Way San Diego CA 92102-4541 Ph: (619) 515-2300 | El Cajon Youth Counseling Center 680 Fletcher Pkwy Ste 200 El Cajon CA 92020-2500 Ph: (619) 515-2365 |
| NPI Number | 1356983241 |
|---|---|
| Provider Enumeration Date | 10/11/2019 |
| Last Update Date | 02/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356983241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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