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Organization

S&S SUPPORTIVE HOUSING LLC

Active
Other names
San Diego Coastal Recovery
Organization subpart
No

Provider details

NPI number
Authorized official
TERRIS BOLDEN (MBR)
(619) 234-6192
Entity
Organization

Contact information

Practice address
1719 NATIONAL AVE, SAN DIEGO, CA 92113-1010
(619) 234-6192
Mailing address
1719 NATIONAL AVE, SAN DIEGO, CA 92113-1010
(619) 234-6192

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
02/17/2025
Last updated
02/17/2025
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