Organization
COMMUNITY RESEARCH FOUNDATION INC
Active
Other names
Douglas Young Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB MARCHETTI (CFO)
(619) 275-0822
Entity
Organization
Contact information
Practice address
10717 CAMINO RUIZ, SUITE 207, SAN DIEGO, CA 92126-2360
(858) 695-2211
(858) 695-3521
Mailing address
10717 CAMINO RUIZ, SUITE 207, SAN DIEGO, CA 92126-2360
(858) 695-2211
(858) 695-3521
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3708
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3708
—
CA
Enumeration date
04/09/2007
Last updated
07/29/2021
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