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Organization
SAN DIEGO SECOND CHANCE PROGRAM
Active
Organization
SAN DIEGO SECOND CHANCE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL PAYNE (EXECUTIVE DIRECTOR & CEO)
(619) 234-8888
Entity
Organization
Contact information
Practice address
6145 IMPERIAL AVE, SAN DIEGO, CA 92114
(619) 234-8888
Mailing address
6145 IMPERIAL AVE, SAN DIEGO, CA 92114
(619) 234-8888
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Enumeration date
05/22/2018
Last updated
02/17/2023
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