Organization
CHILDREN'S HOSPITAL, CHADWICK CENTER FOR CHILDREN AND FAMILIES
Active
Parent organization
RADY CHILDREN'S HOSPITAL SAN DIEGO
Organization subpart
Yes
Provider details
NPI number
Legal business name
RADY CHILDREN'S HOSPITAL SAN DIEGO
Authorized official
MS. HEIDI LYNN STERN-ELLIS LCSW (CLINICAL SUPERVISOR)
(619) 420-5611
Entity
Organization
Contact information
Practice address
1261 3RD AVE, SUITE D, CHULA VISTA, CA 91911-3262
(619) 420-5611
(619) 420-5531
Mailing address
1261 3RD AVE, SUITE D, CHULA VISTA, CA 91911-3262
(619) 420-5611
(619) 420-5531
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
LCS16941
CA
Other
Enumeration date
03/14/2007
Last updated
01/22/2025
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