Organization
TELECARE SAN DIEGO REACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GABRIEL BANUELOS (PERSONAL SERVICE COORDINATOR I)
(619) 398-2181
Entity
Organization
Contact information
Practice address
446 26TH ST FL 6, SAN DIEGO, CA 92102-3026
(619) 398-2181
(619) 398-2171
Mailing address
446 26TH ST FL 6, SAN DIEGO, CA 92102-3026
(619) 398-2181
(619) 398-2171
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/02/2007
Last updated
08/22/2020
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