# SAN DIEGO DEAF MENTAL HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689906851
- **Authorized official:** ALLISON SEPULVEDA M.A. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (858) 410-1067

## Contact information

- **Practice address:** 707 BROADWAY FL 2, SAN DIEGO, CA 92101-5391
- **Practice address phone:** (858) 410-1067
- **Mailing address:** 707 BROADWAY FL 2, SAN DIEGO, CA 92101-5391
- **Mailing address phone:** (858) 410-1067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | CA | Yes |
| 302F00000X | Exclusive Provider Organization | — | CA | — |

## Other

- **Enumeration date:** 02/12/2010
- **Last updated:** 02/12/2010