Organization
KALYAN MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS PTACEK (DIRECTOR)
(540) 818-1687
Entity
Organization
Contact information
Practice address
10655 CALLE MAR DE MARIPOSA APT 4201, SAN DIEGO, CA 92130-8725
(540) 818-1687
Mailing address
10655 CALLE MAR DE MARIPOSA APT 4201, SAN DIEGO, CA 92130-8725
(540) 818-1687
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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