Organization
SAN DIEGO YOUTH SERVICES
Active
Other names
Foster Care EPSDT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER PHILIPS (CHIEF EXECUTIVE OFFICER)
(619) 221-8600
Entity
Organization
Contact information
Practice address
3255 WING ST STE 500, SAN DIEGO, CA 92110-4642
(619) 221-8610
(619) 221-8619
Mailing address
3255 WING ST, SAN DIEGO, CA 92110-4638
(619) 221-8600
(619) 221-8611
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
370090DN
CA
Other
Enumeration date
01/31/2008
Last updated
04/04/2013
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