Healthcare Provider Details

I. General information

NPI: 1427445618
Provider Name (Legal Business Name): COMMUNITY ALLIES FOR PSYCHOLOGICAL EMPOWERMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2015
Last Update Date: 04/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2202 COMSTOCK ST ATTN: CAPE
SAN DIEGO CA
92111-6502
US

IV. Provider business mailing address

3525 DEL MAR HEIGHTS RD SUITE 302
SAN DIEGO CA
92130-2199
US

V. Phone/Fax

Practice location:
  • Phone: 858-278-0771
  • Fax:
Mailing address:
  • Phone: 619-630-4611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. PATRICIA JONES
Title or Position: RESEARCH AND PUBLICATIONS COORDINAT
Credential:
Phone: 858-531-6959