Organization
MILESTONE HOUSE
Active
Other names
Milestone House
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY BOONE (EXECUTIVE DIRECTOR)
(760) 433-6361
Entity
Organization
Contact information
Practice address
1816 PORTOFINO DR, OCEANSIDE, CA 92054-6130
(760) 433-6361
(760) 439-7402
Mailing address
1816 PORTOFINO DR, OCEANSIDE, CA 92054-6130
(760) 433-6361
(760) 439-7402
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
02/12/2020
Last updated
10/05/2023
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