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Organization

CENTRAL NORTH REGIONAL RECOVERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ADRIENNE MICHELLE ALTAMIRANO (SUBSTANCE ABUSE COUNSELOR)
(858) 505-0228
Entity
Organization

Contact information

Practice address
6693 CONVOY CT, SAN DIEGO, CA 92111-1008
(858) 505-0882
(858) 505-9349
Mailing address
3196 LARKDALE WAY, SAN DIEGO, CA 92123-2005
(858) 565-4026

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
04/12/2007
Last updated
08/07/2008
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