Organization
CENTER FOR POSITIVE CHANGES STAY
Active
Other names
Center for Positive Changes STAY 5
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA MELLOS (DIRECTOR)
(619) 660-3886
Entity
Organization
Contact information
Practice address
5104 ELIOT ST, OCEANSIDE, CA 92057-2646
(760) 637-2340
(619) 660-6604
Mailing address
9628 CAMPO RD STE M, SPRING VALLEY, CA 91977-1233
(619) 660-3886
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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