Provider Demographics
NPI:1669629390
Name:EPISCOPAL COMMUNITY SERVICES
Entity Type:Organization
Organization Name:EPISCOPAL COMMUNITY SERVICES
Other - Org Name:PARA LAS FAMILIAS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF HCS
Authorized Official - Prefix:
Authorized Official - First Name:STACIE
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-228-2800
Mailing Address - Street 1:401 MILE OF CARS WAY
Mailing Address - Street 2:SUITE 350
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950
Mailing Address - Country:US
Mailing Address - Phone:619-228-2800
Mailing Address - Fax:619-228-2801
Practice Address - Street 1:1424 30TH ST STE A
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-3417
Practice Address - Country:US
Practice Address - Phone:619-565-2650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EPISCOPAL COMMUNITY SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-25
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA37ELOtherDMH