Provider Demographics
NPI:1184168775
Name:EPISCOPAL COMMUNITY SERVICES
Entity type:Organization
Organization Name:EPISCOPAL COMMUNITY SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MARICS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
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:91950-6610
Mailing Address - Country:US
Mailing Address - Phone:619-228-2800
Mailing Address - Fax:619-228-2801
Practice Address - Street 1:4660 EL CAJON BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-4450
Practice Address - Country:US
Practice Address - Phone:619-597-7335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-15
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management