# VARSITY TEAM, INCORPORATED

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

## Provider details

- **NPI number:** 1245814151
- **Authorized official:** DREW DAHLSTEDT (CFO/COO)
- **Authorized official phone:** (619) 694-6809

## Contact information

- **Practice address:** 602 S 18TH ST, BRAWLEY, CA 92227-2859
- **Practice address phone:** (760) 623-7131
- **Practice address fax:** (619) 362-9532
- **Mailing address:** PO BOX 26633, SAN DIEGO, CA 92196-0633
- **Mailing address phone:** (619) 694-6809
- **Mailing address fax:** (619) 362-9532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | — | — | — |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | — | — | — |

## Other

- **Enumeration date:** 05/06/2021
- **Last updated:** 05/06/2021
