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Organization

ENCOMIUM FAMILY THERAPY INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OLABANJI ADENIRANYE PSY.D (CEO)
(619) 514-3320
Entity
Organization

Contact information

Practice address
3160 CAMINO DEL RIO S STE 116, SAN DIEGO, CA 92108-8933
(619) 514-3320
Mailing address
1480 BROADWAY UNIT 2323, SAN DIEGO, CA 92101-5735

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
10/21/2019
Last updated
11/06/2024
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