Organization
THE PALAVRA TREE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE R REED B.S. (EXECUTIVE DIRECTOR)
(619) 263-7768
Entity
Organization
Contact information
Practice address
2878 IMPERIAL AVE, SAN DIEGO, CA 92102-4026
(619) 238-7393
(619) 696-0492
Mailing address
2878 IMPERIAL AVE, SAN DIEGO, CA 92102-4026
(619) 263-7768
(619) 262-5040
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
370102BN
CA
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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