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5675 Ruffin Road, Suite 325 San Diego CA 92123-1391 | |
| (858) 467-9170 | |
| (858) 467-9183 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5675 Ruffin Road,, San Diego, California |
| Authorized Official Name and Position | Todd Hunter Huisken (AGENCY DIRECTOR) |
| Authorized Official Contact | 8584679170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5675 Ruffin Road, Suite 325 San Diego CA 92123-1391 Ph: (858) 467-9170 | 5675 Ruffin Road, Suite 325 San Diego CA 92123-1391 Ph: (858) 467-9170 |
| NPI Number | 1710069281 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710069281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (California) | Primary |
Aefct Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4669 Murphy Canyon Rd Ste 212, San Diego, CA 92123 Phone: 858-569-0056 Fax: 858-569-4233 | |
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True Crew California Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8910 University Center Ln Ste 400, San Diego, CA 92122 Phone: 603-692-8173 | |
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