Organization
MENTAL HEALTH CENTER OF SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS BEETS (DIRECTOR)
(949) 933-1931
Entity
Organization
Contact information
Practice address
3825 BEN ST, SAN DIEGO, CA 92111-3524
(619) 450-1874
Mailing address
960 GRAND AVE, SAN DIEGO, CA 92109-4064
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHBS210372
DHCS
CA
Enumeration date
01/05/2022
Last updated
01/05/2022
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