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General NPI Number Information
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NPI Number | 1629750955
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Entity Type | Organization
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Legal Business Name | COMMUNITY REUNIFICATION PROJECT
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Dates
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Enumeration Date | 08/04/2023
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 6280 JACKSON DR STE 8
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City | SAN DIEGO
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State | CA
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Zip | 92119-3436
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Country | US
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Telephone | 619-324-4893
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Fax | 888-744-5486
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Provider Business Mailing Address
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Address Line | 1741 EASTLAKE PKWY STE 102-176
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City | CHULA VISTA
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State | CA
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Zip | 91915-2032
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Country | US
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Telephone | 619-300-1095
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Fax | 888-744-5486
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICARDO CABRERA
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Credential |
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Telephone | 619-300-1095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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