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Organization
MANAGED CARE
Active
Organization
MANAGED CARE
Active
Parent organization
SOCIAL ADVOCATES FOR YOUTH, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOCIAL ADVOCATES FOR YOUTH, INC
Authorized official
KELLY ANN VALES (VICE PRESIDENT)
(619) 283-9624
Entity
Organization
Contact information
Practice address
4275 EL CAJON BLVD STE 101, SAN DIEGO, CA 92105-1293
(619) 283-9624
Mailing address
4775 VIEWRIDGE AVE, SAN DIEGO, CA 92123-1641
(858) 565-4148
(858) 565-4178
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/18/2009
Last updated
05/13/2019
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