Organization
RE SPECTRUM COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY OLINGER PSYD (PRESIDENT)
(619) 301-4041
Entity
Organization
Contact information
Practice address
10769 WOODSIDE AVE, SANTEE, CA 92071-3174
(619) 301-4041
Mailing address
1020 THOMAS AVE, SAN DIEGO, CA 92109-4161
(619) 301-4041
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
MFC 49051
CA
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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