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Organization

SAN DIEGO HEALTH ALLIANCE

Active
Parent organization
ACADIA HEALTHCARE
Other names
El Cajon Treatment Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
ACADIA HEALTHCARE
Authorized official
BRIAN PHILLIP FARLEY (VP & SECRETARY)
(615) 861-6000
Entity
Organization

Contact information

Practice address
234 N MAGNOLIA AVE, EL CAJON, CA 92020-3906
(619) 579-8378
(619) 579-8155
Mailing address
6183 PASEO DEL NORTE, STE 200, CARLSBAD, CA 92011-1155
(855) 259-2288

Taxonomy

Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
37-09
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZT15022F
CA DRUG MEDI-CAL
CA
Enumeration date
01/30/2007
Last updated
08/10/2023
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