Organization
PRIME HEALTHCARE PARADISE VALLEY LLC
Active
Other names
Bayview CSU
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
(310) 259-4706
Entity
Organization
Contact information
Practice address
330 MOSS ST, CHULA VISTA, CA 91911-2005
(619) 426-6310
Mailing address
2400 E 4TH ST, NATIONAL CITY, CA 91950-2026
(619) 470-4321
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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