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Organization

BH-SDOPCO, LLC

Active
Other names
Alvarado Parkway Institute
Organization subpart
No

Provider details

NPI number
Authorized official
JUSTUS BENJAMIN (PHARMACIST IN CHARGE)
(619) 667-6070
Entity
Organization

Contact information

Practice address
7050 PARKWAY DR, LA MESA, CA 91942-1535
(619) 667-6070
(619) 667-6002
Mailing address
7050 PARKWAY DR, LA MESA, CA 91942-1535
(619) 667-6070
(619) 667-6002

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary

Other

Enumeration date
01/29/2015
Last updated
01/29/2015
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