Organization
FLORENCE GRIFFITH JOYNER YOUTH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH TATE MA, LMFT (EXECUTIVE DIRECTOR)
(619) 284-2443
Entity
Organization
Contact information
Practice address
3093 CENTRAL AVE, SAN DIEGO, CA 92105-4030
(619) 284-2443
Mailing address
3093 CENTRAL AVE, SAN DIEGO, CA 92105-4030
(619) 284-2443
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LMFT83318
CA
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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