Organization
THE CONSTELLATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAVONNE MARCELL CASILLAS CAADE, CSC (EXECUTIVE DIRECTOR)
(619) 847-5174
Entity
Organization
Contact information
Practice address
11201 CONSTELLATION DR, EL CAJON, CA 92020-8200
(619) 847-5174
Mailing address
1101 ALTURAS RD APT 1E, FALLBROOK, CA 92028-3127
(619) 847-5174
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/07/2017
Last updated
06/16/2018
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