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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. WENDY HARTRICK LMFT (OWNER)
(858) 609-9295
Entity
Organization

Contact information

Practice address
11622 EL CAMINO REAL, SAN DIEGO, CA 92130-2049
(858) 609-9295
Mailing address
PO BOX 710253, SANTEE, CA 92072-0253

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
82991
CA
261QM0850X
Adult Mental Health Clinic/Center
82991
CA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
82991
CA

Other

Enumeration date
01/30/2018
Last updated
01/30/2018
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