Healthcare Provider Details

I. General information

NPI: 1427843770
Provider Name (Legal Business Name): ESCONDIDO EDUCATION COMPACT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2025
Last Update Date: 04/09/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 S BROADWAY
ESCONDIDO CA
92025-4217
US

IV. Provider business mailing address

220 S BROADWAY
ESCONDIDO CA
92025-4217
US

V. Phone/Fax

Practice location:
  • Phone: 760-839-4515
  • Fax:
Mailing address:
  • Phone: 760-839-4515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA HUERTA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 760-839-4515