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Organization
SAN DIEGO YOUTH SERVICES
Active
Organization
SAN DIEGO YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HENNICK (PROGRAM MANAGER)
(619) 521-3939
Entity
Organization
Contact information
Practice address
3151 REDWOOD ST, SAN DIEGO, CA 92104-4615
(619) 521-3939
(619) 521-3935
Mailing address
3151 REDWOOD ST, SAN DIEGO, CA 92104-4615
(619) 521-3939
(619) 521-3935
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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