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Organization
SAN DIEGO YOUTH SERVICES
Active
Organization
SAN DIEGO YOUTH SERVICES
Active
Other names
BridgeWays
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER EDWIN PHILIPS LCSW (CHIEF EXECUTIVE OFFICER)
(619) 221-8601
Entity
Organization
Contact information
Practice address
7364 EL CAJON BLVD, SAN DIEGO, CA 92115-1864
(619) 221-8600
(619) 221-8611
Mailing address
3255 WING ST, SAN DIEGO, CA 92110-4638
(619) 221-8600
(619) 221-8611
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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