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Organization

ALPHA OF SAN DIEGO, INC.

Active
Other names
Alpha Behavioral Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SCOTT A. SUCKOW (CEO/EXECUTIVE DIRECTOR)
(619) 285-9999
Entity
Organization

Contact information

Practice address
4069 30TH ST, SAN DIEGO, CA 92104-2601
(619) 285-9999
(619) 285-1938
Mailing address
4069 30TH ST, SAN DIEGO, CA 92104-2601
(619) 285-9999
(619) 285-1938

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
15358
CA

Other

Enumeration date
06/09/2006
Last updated
11/05/2007
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