| Florence Griffith Joyner Youth Foundation | |
|
3093 Central Ave San Diego CA 92105-4030 | |
| (619) 284-2443 | |
| Not Available |
| Full Name | Florence Griffith Joyner Youth Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3093 Central Ave, San Diego, California |
| Authorized Official Name and Position | Elizabeth Tate (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6192842443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florence Griffith Joyner Youth Foundation 3093 Central Ave San Diego CA 92105-4030 Ph: (619) 284-2443 | Florence Griffith Joyner Youth Foundation 3093 Central Ave San Diego CA 92105-4030 Ph: (619) 284-2443 |
| NPI Number | 1598161325 |
|---|---|
| Provider Enumeration Date | 11/05/2014 |
| Last Update Date | 11/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598161325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LMFT83318 (California) | Primary |
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