CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC. NPI 1013119569

NPI Information

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. is an adolescent and children mental health clinic center in San Diego, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. NPI is 1013119569. The provider is registered as an organization entity type.
The provider Is Doing Business As San Ysidro Health Youth Enhancement Services.

The provider's business location address is:

1666 PRECISION PARK LN
SAN DIEGO, CA
ZIP 92173-346
Phone: (619) 428-1330
Fax: (619) 482-7952

The provider's authorized official is Brian Wallace .
The authorized official title is Vp/cfo and has the following contact phone number (619) 662-4100.

The enumeration date for this NPI number is 6/5/2007 and was last updated on 6/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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