Organization
INSTITUTE OF BEHAVIORAL SCIENCES AND TECHNOLOGY FAMILY COUNSELING P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP E SALAS LMFT (PRESIDENT / CEO)
(619) 387-8272
Entity
Organization
Contact information
Practice address
2160 FLETCHER PKWY STE 105, EL CAJON, CA 92020-2117
(619) 387-8272
(619) 314-5161
Mailing address
2160 FLETCHER PKWY STE 105, EL CAJON, CA 92020-2117
(619) 387-8272
(619) 314-5161
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134621485
—
CA
Enumeration date
09/10/2020
Last updated
04/27/2024
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