Organization
SAN DIEGO CENTER FOR RECREATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE M GILMORE LMFT (OWNER)
(858) 882-7872
Entity
Organization
Contact information
Practice address
4535 QUANTICO AVE, SAN DIEGO, CA 92117-3831
(858) 882-7872
Mailing address
PO BOX 17369, SAN DIEGO, CA 92177-7369
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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