| Fallbrook Full Service Partnership | |
|
120 W Hawthorne St Fallbrook CA 92028-2053 | |
| (760) 731-3235 | |
| (760) 731-4950 |
| Full Name | Fallbrook Full Service Partnership |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 120 W Hawthorne St, Fallbrook, California |
| Authorized Official Name and Position | Lisa Michele Turner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7607412660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fallbrook Full Service Partnership 1002 E Grand Ave Escondido CA 92025-4605 Ph: (760) 741-2660 | Fallbrook Full Service Partnership 120 W Hawthorne St Fallbrook CA 92028-2053 Ph: (760) 731-3235 |
| NPI Number | 1972704930 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 12/09/2022 |
| Certification Date | 12/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972704930 | NPI | - | NPPES |
| 37HB | Other | CA | MEDI-CAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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