Jr's Trauma Care Initiative is a mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in San Ysidro, California. The current practice location for Jr's Trauma Care Initiative is 1665 Precision Park Ln Ste H, San Ysidro, California. For appointments, you can reach them via phone at (619) 330-7569. The mailing address for Jr's Trauma Care Initiative is 654 E San Ysidro Blvd Unit 483, San Ysidro, California and phone number is (619) 330-7569.
Jr's Trauma Care Initiative is licensed to practice in * (Not Available) (license number ) and its NPI number is 1205401593. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (619) 330-7569.
Contact Information
Jr's Trauma Care Initiative
1665 Precision Park Ln Ste H San Ysidro CA 92173-1348
Clinic/center - Mental Health (including Community Mental Health Center)
Location
1665 Precision Park Ln Ste H, San Ysidro, California
Authorized Official Name and Position
Charles Elmer Walker (DIRECTOR OF MENTAL HEALTH)
Authorized Official Contact
6193307569
Accepts Medicare Insurance
This clinic does not participate in Medicare Program.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Jr's Trauma Care Initiative 654 E San Ysidro Blvd Unit 483 San Ysidro CA 92173-3151 Ph: (619) 330-7569
Jr's Trauma Care Initiative 1665 Precision Park Ln Ste H San Ysidro CA 92173-1348 Ph: (619) 330-7569
NPI Details:
NPI Number
1205401593
Provider Enumeration Date
05/20/2021
Last Update Date
05/20/2021
Certification Date
05/20/2021
Medical Identifiers
Medical identifiers for Jr's Trauma Care Initiative such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1205401593
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
101YM0800X
Counselor - Mental Health
(* (Not Available))
Secondary
1041C0700X
Social Worker - Clinical
(* (Not Available))
Secondary
106H00000X
Marriage & Family Therapist
(* (Not Available))
Secondary
261QM0855X
Clinic/center - Adolescent And Children Mental Health
(* (Not Available))
Secondary
261QM0801X
Clinic/center - Mental Health (including Community Mental Health Center)
(* (Not Available))
Primary
Reviews and Comments
Clinic/Center in San Ysidro, CA
South Bay Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 W Hall Ave, San Ysidro, CA 92173 Phone: 619-420-3620