Organization
NMCSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEKSANDRA MARINOVIC PSY.D. (PSYCHOLOGIST)
(858) 349-4496
Entity
Organization
Contact information
Practice address
34800 BOB WILSON DR, NMCSD, SAN DIEGO, CA 92134-1098
(858) 753-1735
Mailing address
2435 ADAMS AVE, #5, SAN DIEGO, CA 92116-1343
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
22507
CA
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
22507
CA
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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