# IMPACT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Research Foundation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477175883
- **Authorized official:** MS. TESSA SANCHEZ (LEAD HR SPECIALIST -ONBOARDING)
- **Authorized official phone:** (619) 275-0822

## Contact information

- **Practice address:** 1260 MORENA BLVD STE 100, SAN DIEGO, CA 92110-3850
- **Practice address phone:** (619) 232-4357
- **Mailing address:** 1260 MORENA BLVD, SAN DIEGO, CA 92110-3889
- **Mailing address phone:** (619) 232-4357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 164W00000X | Licensed Practical Nurse | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |

## Other

- **Enumeration date:** 05/08/2020
- **Last updated:** 10/14/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 201902804LPN | LICENSE PRACTICAL NURSE | OR |
| 01 | — | 719792 | CALIFORNIA BOARD OF VOCATIONAL NURSING AND PSYCHIATRIC TECHNICIANS | CA |
| 01 | — | VN719792 | LICENSE VOCATIONAL NURSE | CA |