Mtn. Shadows Ancillary Services
NPI #1790181592 in San Marcos, California
Provider Information
- NPI Number
- 1790181592
- Entity Type
- Organization
- Organization Name
- Mtn. Shadows Ancillary Services
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Nov 6, 2014
- Last Updated
- Nov 13, 2014
Practice Location
- Address
- 970 LOS VALLECITOS BLVD
- Address 2
- SUITE 140
- City
- San Marcos
- State
- California
- ZIP Code
- 92069-1473
- Phone
- (760) 743-3714
Authorized Official
- Name
- ARLENE GALVAN
- Title
- PROGRAM DIRECTOR
- Phone
- (760) 743-3714
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Behavior Analyst |
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