Organization
LETSGROW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID RYAN ALLEN MA, BCBA (EXECUTIVE CLINICAL DIRECTOR)
(619) 713-0737
Entity
Organization
Contact information
Practice address
7373 UNIVERSITY AVE, 114, LA MESA, CA 91942-0500
(619) 713-0737
Mailing address
7373 UNIVERSITY AVE, 114, LA MESA, CA 91942-0500
(619) 713-0737
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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