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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