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Organization
SUBSTANCE ABUSE REHABILITATION PROGRAM
Active
Organization
SUBSTANCE ABUSE REHABILITATION PROGRAM
Active
Other names
SARP
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY R WILLIAMSON COE M.A., MFT (LIP/CLINIC HEAD)
(619) 556-7635
Entity
Organization
Contact information
Practice address
34800 BOB WILSON DR, NMCSD, ATTN: MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134-1098
(619) 556-7635
(619) 556-9842
Mailing address
34800 BOB WILSON DR, NMCSD, ATTN: MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134-1098
(619) 556-7635
(619) 556-9842
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC 25227
CA
Other
Enumeration date
01/27/2006
Last updated
08/22/2020
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