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Organization
SAN DIEGO CENTER FOR CHILDREN
Active
Organization
SAN DIEGO CENTER FOR CHILDREN
Active
Other names
FFA Stabilization and Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY HOWARD (QA DIRECTOR)
(858) 569-2199
Entity
Organization
Contact information
Practice address
2655 CAMINO DEL RIO N STE 450, SAN DIEGO, CA 92108-1603
(858) 633-4102
(858) 737-6972
Mailing address
2655 CAMINO DEL RIO N STE 450, SAN DIEGO, CA 92108-1603
(858) 633-4102
(858) 737-6972
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37OA
MEDI-CAL
CA
Enumeration date
06/16/2011
Last updated
04/28/2023
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