Organization
YMCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA V SAA (MFT TRAINEE)
(619) 261-6630
Entity
Organization
Contact information
Practice address
4080 CENTRE ST, SAN DIEGO, CA 92103-2655
(619) 543-9491
Mailing address
9743 ABBEYFIELD RD, SANTEE, CA 92071-2606
(619) 261-6630
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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