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Organization
THERAPEUTIC BEHAVIORAL SERVICES
Active
Organization
THERAPEUTIC BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFREDO AGUIRRE LCSW (DEPUTY DIRECTOR MENTAL HEALTH SRVC)
(619) 563-2711
Entity
Organization
Contact information
Practice address
1000 BROADWAY, SUITE 105, EL CAJON, CA 92021-4899
(619) 401-4630
(619) 401-4627
Mailing address
PO BOX 85524, MS P-503, SAN DIEGO, CA 92186-5524
(619) 401-4630
(619) 401-4627
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37ED
—
CA
Enumeration date
01/25/2007
Last updated
08/22/2020
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