JR'S TRAUMA CARE INITIATIVE
NPI 1205401593
Clinic/Center - Mental Health (Including Community Mental Health Center) in San Ysidro, CA

Q: What is Jr's Trauma Care Initiative's NPI number?

The NPI number for Jr's Trauma Care Initiative is 1205401593. It was assigned to this organization in the NPPES registry on May 20, 2021.

Q: What is Jr's Trauma Care Initiative's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since May 20, 2021

1665 PRECISION PARK LN STE H, SAN YSIDRO, CA 92173(619) 330-7569 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jr's Trauma Care Initiative NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JR'S TRAUMA CARE INITIATIVE (NPI 1205401593) is a healthcare organization registered as a mental health (including community mental health center) in San Ysidro, California and active in the NPI registry since May 2021. The organization lists Charles Elmer Walker, Director Of Mental Health, as its authorized official.

NPPES Registry Identity

NPI1205401593

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameJR'S TRAUMA CARE INITIATIVE

Location Address1665 PRECISION PARK LN STE HSan Ysidro, CA 92173-1348

Mailing Address654 E San Ysidro Blvd Unit 483San Ysidro, CA 92173-3151 · (619) 330-7569

Phone(619) 330-7569

Organization SubpartNo

Authorized OfficialCharles Elmer WalkerDirector Of Mental Health · (619) 330-7569

Enumeration DateMay 20, 2021

NPPES CertifiedMay 20, 2021

✔ NPI 1205401593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

1665 PRECISION PARK LN STE H, San Ysidro, CA 92173

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHARLES ELMER WALKER LMFT

Marriage & Family Therapist

1665 PRECISION PARK LN STE H
SAN YSIDRO, CA 92173

San Diego County (619) 330-7569

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jr's Trauma Care Initiative's NPI number?

The NPI number for Jr's Trauma Care Initiative is 1205401593. It was assigned to this organization in the NPPES registry on May 20, 2021.

Where is Jr's Trauma Care Initiative located?

Jr's Trauma Care Initiative is located at 1665 Precision Park Ln Ste H, San Ysidro, CA 92173. The listed phone number is (619) 330-7569.

What is Jr's Trauma Care Initiative's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Jr's Trauma Care Initiative was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.