| Satellite 1 - Cajon Valley Middle School | |
|
550 E Park Ave El Cajon CA 92020 | |
| (619) 588-3653 | |
| Not Available |
| Full Name | Satellite 1 - Cajon Valley Middle School |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 550 E Park Ave, El Cajon, California |
| Authorized Official Name and Position | Jacqueline Small (PROGRAM MANAGER) |
| Authorized Official Contact | 6195883653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Satellite 1 - Cajon Valley Middle School Po Box 34219 San Diego CA 92163-4219 Ph: () - | Satellite 1 - Cajon Valley Middle School 550 E Park Ave El Cajon CA 92020 Ph: (619) 588-3653 |
| NPI Number | 1093981417 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 06/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093981417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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