Organization
COUNSELING & BEHAVIORAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEGGY M. BAKER (BILLING/CREDENTIALING)
(619) 697-0470
Entity
Organization
Contact information
Practice address
4700 SPRING ST, STE 203, LA MESA, CA 91942-0263
(619) 697-0470
(619) 697-0505
Mailing address
4700 SPRING ST, STE 203, LA MESA, CA 91942-0263
(619) 697-0470
(619) 697-0505
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
IMF84197
CA
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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