Fidare Health Co
NPI #1417760364 in Lemon Grove, California
Provider Information
- NPI Number
- 1417760364
- Entity Type
- Organization
- Organization Name
- Fidare Health Co
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Jan 27, 2025
- Last Updated
- Jan 27, 2025
Practice Location
- Address
- 3434 GROVE ST
- City
- Lemon Grove
- State
- California
- ZIP Code
- 91945-1812
- Phone
- (619) 782-0011
Authorized Official
- Name
- JONATHON WHEATON
- Title
- AUTHORIZED OFFICER
- Phone
- (619) 782-0011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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