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Organization

YMCA OF SAN DIEGO COUNTY

Active
Other names
Youth & Family Services
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATIE DEMMLER (ASSOCIATE EXECUTIVE DIRECTOR)
(619) 281-8313
Entity
Organization

Contact information

Practice address
3304 IDLEWILD WAY, SAN DIEGO, CA 92117-3508
(858) 270-8213
(858) 270-8216
Mailing address
4451 30TH ST, SAN DIEGO, CA 92116-4232
(619) 281-8313

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
370808617
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
370808617
COMMUNITY CARE LICENSE FACILITY #
CA
Enumeration date
12/11/2015
Last updated
01/09/2026
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