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Organization
SAN DIEGO DEAF MENTAL HEALTH SERVICES
Active
Organization
SAN DIEGO DEAF MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON SEPULVEDA M.A. (EXECUTIVE DIRECTOR)
(858) 410-1067
Entity
Organization
Contact information
Practice address
707 BROADWAY FL 2, SAN DIEGO, CA 92101-5391
(858) 410-1067
Mailing address
707 BROADWAY FL 2, SAN DIEGO, CA 92101-5391
(858) 410-1067
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
CA
302F00000X
Exclusive Provider Organization
—
CA
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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