Organization
SAN DIEGO YOUTH SERVICES
Active
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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