Organization
DEL MAR SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA TAGG PSYD, MSCP, BCBA (CLINICAL DIRECTOR)
(910) 378-2501
Entity
Organization
Contact information
Practice address
1523 SAN MATEO ST, OCEANSIDE, CA 92058-1126
(910) 378-2501
Mailing address
1523 SAN MATEO ST, OCEANSIDE, CA 92058-1126
(910) 378-2501
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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