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Organization

COMMUNITY REUNIFICATION PROJECT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICARDO CABRERA (PRESIDENT)
(619) 300-1095
Entity
Organization

Contact information

Practice address
6280 JACKSON DR STE 8, SAN DIEGO, CA 92119-3436
(619) 324-4893
(888) 744-5486
Mailing address
1741 EASTLAKE PKWY STE 102-176, CHULA VISTA, CA 91915-2032
(619) 300-1095
(888) 744-5486

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
103TC1900X
Counseling Psychologist
103TP2701X
Group Psychotherapy Psychologist
106H00000X
Marriage & Family Therapist
251S00000X
Community/Behavioral Health Agency
261QM0850X
Adult Mental Health Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
08/04/2023
Last updated
08/05/2025
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