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Organization
NEW LVL
Active
Organization
NEW LVL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREANA BENFORD (FOUNDER & CEO)
(619) 540-7481
Entity
Organization
Contact information
Practice address
852 5TH AVE STE 230, SAN DIEGO, CA 92101-6108
(619) 540-7481
Mailing address
852 5TH AVE STE 230, SAN DIEGO, CA 92101-6108
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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