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:VP OF PROGRAMS
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:91950-6610
Mailing Address - Country:US
Mailing Address - Phone:619-228-2800
Mailing Address - Fax:619-228-2801
Practice Address - Street 1:4443 30TH ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92116-4288
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:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management