Organization
COMMUNITY RESEARCH FGOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHALED M HSEINO (INTERN)
(858) 357-4599
Entity
Organization
Contact information
Practice address
1202 MORENA BLVD STE 300, SAN DIEGO, CA 92110-3844
(619) 275-0822
Mailing address
2122 CRANDALL DR, APT# C, SAN DIEGO, CA 92111-6728
(858) 357-4599
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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