Organization
B.R.I.T.E. CC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO JOHNSON MHA (CHIEF OF OPERATIONS)
(858) 289-0787
Entity
Organization
Contact information
Practice address
2185 EL PRADO AVE, LEMON GROVE, CA 91945-3624
(858) 289-0787
Mailing address
2185 EL PRADO AVE, LEMON GROVE, CA 91945-3624
(858) 289-0787
(833) 669-1622
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/24/2023
Last updated
10/25/2023
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