Whalio Doctors

NPI 1205401593

Jr's Trauma Care Initiative

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) San Ysidro, CA

Practice location

Address
1665 Precision Park Ln STE H, San Ysidro, CA 92173-1348
Phone
(619) 330-7569
Mailing address
654 E San Ysidro Blvd Unit 483, San Ysidro, CA 92173-3151

Authorised official

Name
Charles Elmer Walker
Title
Director of Mental Health
Phone
(619) 330-7569

Registered specialties (5)

Mental Health Clinic/Center (Including Community Mental Health Center) Primary
Ambulatory Health Care Facilities Taxonomy 261QM0801X
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X
Marriage & Family Therapist
Behavioral Health & Social Service Providers Taxonomy 106H00000X
Adolescent and Children Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0855X

Registry record

NPI
1205401593
Entity type
Organization
NPI issued
20 May 2021
Record last updated
20 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.