Organization
SAN DIEGO DEAF MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON SEPULVEDA M.A. (EXECUTIVE DIRECTOR)
(858) 410-1067
Entity
Organization
Contact information
Practice address
707 BROADWAY FL 2, SAN DIEGO, CA 92101-5391
(858) 410-1067
Mailing address
707 BROADWAY FL 2, SAN DIEGO, CA 92101-5391
(858) 410-1067
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
CA
302F00000X
Exclusive Provider Organization
—
CA
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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