Organization
VARSITY TEAM, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DREW DAHLSTEDT (CFO/COO)
(619) 694-6809
Entity
Organization
Contact information
Practice address
602 S 18TH ST, BRAWLEY, CA 92227-2859
(760) 623-7131
(619) 362-9532
Mailing address
PO BOX 26633, SAN DIEGO, CA 92196-0633
(619) 694-6809
(619) 362-9532
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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