# CASA DE AMPARO

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

## Provider details

- **NPI number:** 1609275676
- **Authorized official:** TAMARA FLECK-MYERS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (760) 566-3555

## Contact information

- **Practice address:** 325 BUENA CREEK RD, SAN MARCOS, CA 92069-9679
- **Practice address phone:** (760) 754-5510
- **Mailing address:** 14934 BUDWIN LN, POWAY, CA 92064-3011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 36846 | CA | Yes |

## Other

- **Enumeration date:** 08/15/2014
- **Last updated:** 08/15/2014