Organization
COUNTY OF SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DONOHOO (DIRECTOR)
(619) 574-5506
Entity
Organization
Contact information
Practice address
3977 OHIO STREET, SAN DIEGO, CA 92104
(619) 574-5506
Mailing address
3977 OHIO STREET, SAN DIEGO, CA 92104
(619) 574-5506
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
04/07/2008
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