Organization · NPI-2
Varsity Team, Incorporated
Residential Treatment Facility, Emotionally Disturbed Children · Brawley, CA
NPI number1245814151
StatusActive
Last updated in NPPESMay 6, 2021
Details
- NPI
- 1245814151
- Entity type
- Organization (NPI-2)
- Legal business name
- Varsity Team, Incorporated
- Organization subpart
- No
- Enumeration date
- May 6, 2021
- Certification date
- May 6, 2021
- Last updated
- May 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 323P00000X | Psychiatric Residential Treatment Facility | – | – | |
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | – | – |
Practice location
602 S 18th StBrawley, CA 92227-2859
Phone 760-623-7131 · Fax 619-362-9532
Mailing address
Po Box 26633San Diego, CA 92196-0633
Phone 619-694-6809 · Fax 619-362-9532
Other practice locations
1305 S La Brucherie Rd
El Centro, CA 92243-9518
El Centro, CA 92243-9518
Phone 760-339-4992 · Fax 619-362-9532
8745 Bennington St
San Diego, CA 92126-3221
San Diego, CA 92126-3221
Phone 858-860-5332 · Fax 619-362-9532
3027 Fleming Dr
San Diego, CA 92139-3714
San Diego, CA 92139-3714
Phone 619-512-1552 · Fax 619-362-9532
Authorized official
Drew Dahlstedt
Cfo/Coo
6196946809
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