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Organization
COMMUNITY RESEARCH FOUNDATION
Active
Organization
COMMUNITY RESEARCH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY LYNN NYKODYM (SUBSTANCE ABUSE SPECIALIST)
(402) 660-2388
Entity
Organization
Contact information
Practice address
1260 MORENA BLVD STE 100, SAN DIEGO, CA 92110-3850
(619) 398-0355
Mailing address
4070 PORTE LA PAZ UNIT 20, SAN DIEGO, CA 92122-4817
(402) 660-2388
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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