# FRED FINCH YOUTH CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194854182
- **Authorized official:** MR. BRUCE WEXLER MFT (DIRECTOR)
- **Authorized official phone:** (619) 258-4012

## Contact information

- **Practice address:** 10025 LOS RANCHITOS RD, LAKESIDE, CA 92040-2723
- **Practice address phone:** (619) 258-4012
- **Mailing address:** 453 13TH ST APT 337, SAN DIEGO, CA 92101-7562
- **Mailing address phone:** (323) 687-7492

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 08/22/2020