Organization
SAN DIEGO YOUTH SERVICES
Active
Organization
SAN DIEGO YOUTH SERVICES
Active
Other names
Counseling Cove
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
3427 4TH AVE, 2ND FLOOR, SAN DIEGO, CA 92103-4910
(619) 525-9903
(619) 525-9908
Mailing address
3255 WING ST, SAN DIEGO, CA 92110-4638
(619) 221-8600
(619) 221-8611
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37H7
DMH
CA
Enumeration date
03/15/2007
Last updated
08/30/2016
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