Organization
JUVENILE FORENSIC HILLCREST HOUSE
Active
Organization
JUVENILE FORENSIC HILLCREST HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFREDO AGUIRRE LCSD (DEPUTY DIRECTOR, MENTAL HEALTH SRV)
(619) 563-2711
Entity
Organization
Contact information
Practice address
4307 3RD AVE, SUITE 103, SAN DIEGO, CA 92103-1407
(619) 293-7246
(619) 293-0360
Mailing address
4307 THIRD AVE, SUITE 103, SAN DIEGO, CA 92103
(619) 293-7246
(619) 293-0360
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37BC
—
CA
Enumeration date
03/22/2007
Last updated
08/22/2020
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