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Organization
FRED FINCH YOUTH CENTER
Active
Organization
FRED FINCH YOUTH CENTER
Active
Other names
Fred Finch Youth Center -Wrap #4
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS N ALEXANDER LCSW (PRESIDENT AND CEO)
(510) 482-2244
Entity
Organization
Contact information
Practice address
637 3RD AVE, SUITE 1, CHULA VISTA, CA 91910-5707
(619) 873-4075
(619) 621-2268
Mailing address
637 3RD AVE, SUITE 1, CHULA VISTA, CA 91910-5707
(619) 873-4075
(619) 621-2268
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/20/2012
Last updated
09/23/2016
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