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Organization
SAN DIEGO YOUTH SERVICES
Active
Organization
SAN DIEGO YOUTH SERVICES
Active
Other names
ECBHC School Based EPSDT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER PHILIPS (CHIEF EXECUTIVE OFFICER)
(619) 221-8601
Entity
Organization
Contact information
Practice address
1870 CORDELL CT, SUITE 101, EL CAJON, CA 92020-0914
(619) 448-9700
(619) 448-9711
Mailing address
3255 WING ST, SAN DIEGO, CA 92110-4638
(619) 221-8601
(619) 221-8611
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37GC
CA
Other
Enumeration date
08/21/2008
Last updated
04/04/2013
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