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Organization
ZEIDERS ENTERPRISES
Active
Organization
ZEIDERS ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ERKENBECK PH.D. (CLINICAL SUPERVISOR)
(619) 556-8817
Entity
Organization
Contact information
Practice address
140 SYLVESTER RD BLDG 212, SAN DIEGO, CA 92106-3521
(619) 553-0367
(619) 553-7506
Mailing address
3803 CAMINO LINDO, SAN DIEGO, CA 92122-1917
(858) 678-0449
(619) 553-7506
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFC34604
CA
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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