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Organization
SBRRC
Active
Organization
SBRRC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE RUIZ (COUNSELOR)
(619) 691-8164
Entity
Organization
Contact information
Practice address
1180 3RD AVE, CHULA VISTA, CA 91911-3139
(619) 691-8164
Mailing address
1180 3RD AVE, CHULA VISTA, CA 91911-3139
(619) 691-8164
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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