# CASA DE AMPARO

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

## Provider details

- **NPI number:** 1588868525
- **Authorized official:** MS. TRINETTE M. CONOVER IMF (THERAPIST INTERN)
- **Authorized official phone:** (760) 754-5517

## Contact information

- **Practice address:** 3355 MISSION AVE, OCEANSIDE, CA 92054-1326
- **Practice address phone:** (760) 754-5517
- **Mailing address:** 3355 MISSION AVE, OCEANSIDE, CA 92054-1326
- **Mailing address phone:** (760) 754-5517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 51017 | CA | Yes |

## Other

- **Enumeration date:** 06/13/2007
- **Last updated:** 08/22/2020