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Organization
MENTAL HEALTH SPECIALTY GROUP PA
Active
Organization
MENTAL HEALTH SPECIALTY GROUP PA
Active
Other names
Rula Health
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL DIOP (AUTHORIZED AGENT)
(617) 823-6490
Entity
Organization
Contact information
Practice address
5201 GREAT AMERICA PKWY STE 320, SANTA CLARA, CA 95054-1140
(323) 205-7088
Mailing address
PO BOX 746878, ATLANTA, GA 30374-6878
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
07/30/2025
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