Organization
SAN DIEGO YOUTH SERVICES
Active
Other names
The Bridge
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER EDWIN PHILIPS LCSW (CHIEF EXECUTIVE OFFICER)
(619) 221-8601
Entity
Organization
Contact information
Practice address
3151 REDWOOD ST, SAN DIEGO, CA 92104-4615
(619) 521-3939
(619) 521-3935
Mailing address
3255 WING ST, SAN DIEGO, CA 92110-4638
(619) 221-8601
(619) 221-8611
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
01/26/2009
Last updated
04/04/2013
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