# SOUTHERN REGIONAL RESOURCE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Caregiver Resource Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467262782
- **Authorized official:** ROBERTO VELASQUEZ (PRESIDENT & CEO)
- **Authorized official phone:** (858) 268-4432

## Contact information

- **Practice address:** 891 KUHN DR STE 200, CHULA VISTA, CA 91914-3551
- **Practice address phone:** (858) 268-4432
- **Practice address fax:** (858) 268-7816
- **Mailing address:** 891 KUHN DR STE 200, CHULA VISTA, CA 91914-3551
- **Mailing address phone:** (858) 268-4432
- **Mailing address fax:** (858) 268-7816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/09/2025
- **Last updated:** 01/09/2025