Organization
SOUTH BAY COMMUNITY SERVICES
Active
Parent organization
SOUTH BAY COMMUNITY SERVICES
Other names
INTENSIVE OUTPATIENT PROG AB2726
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH BAY COMMUNITY SERVICES
Authorized official
KATHRYN LEMBO B.A. (EXECUTIVE DIRECTOR)
(619) 420-3620
Entity
Organization
Contact information
Practice address
430 F ST, CHULA VISTA, CA 91910-3711
(619) 420-3620
(619) 420-8722
Mailing address
430 F ST, CHULA VISTA, CA 91910-3711
(619) 420-3620
(619) 420-8722
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
252Y0000X
—
Other
Enumeration date
09/29/2008
Last updated
08/02/2012
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