Organization
NORTH COUNTY THERAPY FOR YOUNG MEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER JOHN ZURES LPCC (OWNER)
(619) 213-2079
Entity
Organization
Contact information
Practice address
5985 EL CAJON BLVD, SAN DIEGO, CA 92115-3827
(619) 213-2079
Mailing address
6113 CALERA PL, SAN DIEGO, CA 92130-6923
(619) 213-2079
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPCC5986
BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
01/24/2019
Last updated
01/29/2019
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