Organization
INCLUDE AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY RAMOS (PROGRAM ADMINISTRATOR)
(858) 603-4812
Entity
Organization
Contact information
Practice address
15318 POMERADO RD, POWAY, CA 92064-2436
(858) 603-5840
Mailing address
PO BOX 720072, SAN DIEGO, CA 92172-0072
(858) 603-4812
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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