Organization
ROCKING HORSE RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MICHELLE SAN FILIPPO TRAUMA SPECIALIST (EXECUTIVE DIRECTOR)
(619) 884-1351
Entity
Organization
Contact information
Practice address
10310 CIRCA VALLE VERDE, EL CAJON, CA 92021-2219
(619) 884-1351
Mailing address
10310 CIRCA VALLE VERDE, EL CAJON, CA 92021-2219
(619) 884-1351
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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