Organization
THE PALAVRA TREE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEO MALONE (EXECUTIVE DIRECTOR)
(619) 263-7768
Entity
Organization
Contact information
Practice address
1212 S 43RD ST STE C, SAN DIEGO, CA 92113-3454
(619) 263-7768
(619) 262-5040
Mailing address
1212 S 43RD ST STE C, SAN DIEGO, CA 92113-3454
(619) 263-7768
(619) 262-5040
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
06/09/2011
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