Provider Demographics
NPI:1043391923
Name:SOCIAL ADVOCATES FOR YOUTH SAN DIEGO, INC.
Entity Type:Organization
Organization Name:SOCIAL ADVOCATES FOR YOUTH SAN DIEGO, INC.
Other - Org Name:SAY, SAN DIEGO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:VALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-283-9624
Mailing Address - Street 1:4775 VIEWRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1641
Mailing Address - Country:US
Mailing Address - Phone:858-565-4148
Mailing Address - Fax:858-565-4178
Practice Address - Street 1:4775 VIEWRIDGE AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1641
Practice Address - Country:US
Practice Address - Phone:858-565-4148
Practice Address - Fax:858-565-4178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health