| Varsity Team, Incorporated | |
|
602 S 18th St Brawley CA 92227-2859 | |
| (760) 623-7131 | |
| (619) 362-9532 |
| Full Name | Varsity Team, Incorporated |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 602 S 18th St, Brawley, California |
| Authorized Official Name and Position | Drew Dahlstedt (CFO/COO) |
| Authorized Official Contact | 6196946809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Varsity Team, Incorporated Po Box 26633 San Diego CA 92196-0633 Ph: (619) 694-6809 | Varsity Team, Incorporated 602 S 18th St Brawley CA 92227-2859 Ph: (760) 623-7131 |
| NPI Number | 1245814151 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 05/06/2021 |
| Certification Date | 05/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245814151 | NPI | - | NPPES |
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