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Organization
ST. CLARE'S HOME
Active
Organization
ST. CLARE'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA INGRID STEWART-TODD CADC (DIRECTOR, ALCOHOL AND DRUG PROGRAMS)
(760) 741-0122
Entity
Organization
Contact information
Practice address
2091 E VALLEY PKWY, ESCONDIDO, CA 92027-2743
(760) 741-0122
(760) 741-1241
Mailing address
2091 E VALLEY PKWY, ESCONDIDO, CA 92027-2743
(760) 741-0122
(760) 741-1241
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CERT# I8540305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3720
MEDICAL
CA
Enumeration date
05/25/2007
Last updated
01/08/2009
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