| Ymca Tides | |
|
2929 Meade Ave San Diego CA 92116-4251 | |
| (619) 281-8313 | |
| Not Available |
| Full Name | Ymca Tides |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2929 Meade Ave, San Diego, California |
| Authorized Official Name and Position | Katherine Elizabeth Demmler (ASSOCIATE DIRECTOR) |
| Authorized Official Contact | 6192818313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ymca Tides 4080 Centre St Ste 104 San Diego CA 92103-2655 Ph: (619) 543-9850 | Ymca Tides 2929 Meade Ave San Diego CA 92116-4251 Ph: (619) 281-8313 |
| NPI Number | 1245672971 |
|---|---|
| Provider Enumeration Date | 07/23/2013 |
| Last Update Date | 06/12/2023 |
| Certification Date | 06/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245672971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MFC50132 (California) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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