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Organization
UPAC TRC
Active
Organization
UPAC TRC
Active
Parent organization
UNION OF PAN ASIAN COMMUNITIES
Other names
SAN DIEGO HIGH
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNION OF PAN ASIAN COMMUNITIES
Authorized official
COURTNEY BOATMAN LMFT (PROGRAM DIRECTOR)
(619) 521-5720
Entity
Organization
Contact information
Practice address
1405 PARK BLVD, BUILDING 100, SAN DIEGO, CA 92101-4722
(619) 521-5720
Mailing address
3288 EL CAJON BLVD STE 13, SAN DIEGO, CA 92104-1430
(619) 521-5720
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8585
—
CA
Enumeration date
05/09/2016
Last updated
09/12/2022
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