Organization
PQ OUTREACH COALITION
Active
Other names
Impact Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM KENNETH HARMANING ED.D. (CHAIR BOARD OF DIRECTORS)
(858) 206-1860
Entity
Organization
Contact information
Practice address
10060 CARMEL MOUNTAIN RD, SAN DIEGO, CA 92129-3228
(858) 206-1860
(858) 484-8577
Mailing address
10060 CARMEL MOUNTAIN RD, SAN DIEGO, CA 92129-3228
(858) 206-1860
(858) 484-8577
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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