Organization · Type 2 NPI
Jr's Trauma Care Initiative
Mental Health Clinic/Center (Including Community Mental Health Center) · San Ysidro, CA
NPI number
1205401593
Active
Practice location
1665 Precision Park Ln Ste H
San Ysidro, CA 92173-1348
Mailing address
654 E San Ysidro Blvd Unit 483
San Ysidro, CA 92173-3151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
About NPI 1205401593
Jr's Trauma Care Initiative's National Provider Identifier is 1205401593, issued on May 20, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in San Ysidro, CA. The record was last updated on May 20, 2021.