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Organization
SAN DIEGO YOUTH SERVICES
Active
Organization
SAN DIEGO YOUTH SERVICES
Active
Other names
Teen Options
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER PHILIPS (CHIEF EXECUTIVE OFFICER)
(619) 221-8600
Entity
Organization
Contact information
Practice address
3660 FAIRMOUNT AVE, SAN DIEGO, CA 92105-3422
(619) 521-2250
(619) 521-5944
Mailing address
3255 WING ST, SAN DIEGO, CA 92110-4638
(619) 221-8600
(619) 221-8611
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
CA
Other
Enumeration date
11/09/2010
Last updated
04/04/2013
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