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NPI 1821760612

NPI 1821760612 : NEIGHBORHOOD HOUSE ASSOCIATION : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1821760612
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEIGHBORHOOD HOUSE ASSOCIATION 
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Dates
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    Enumeration Date     |    09/30/2021
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    Last Update Date     |    04/04/2025
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Provider Practice Location Address
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    Address Line         |    286 EUCLID AVE STE 206 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92114
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    Country              |    US
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    Telephone            |    858-285-0979
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    Fax                  |    619-881-8079
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Provider Business Mailing Address
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    Address Line         |    286 EUCLID AVE STE 206 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92114-3612
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    Country              |    US
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    Telephone            |    858-285-0979
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    Fax                  |    619-881-8079
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Authorized Official
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    Title or Position    |    PROGRAM DIRECTOR
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    Name                 |     DESIREE  BRITTAIN 
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    Credential           |    LMFT
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    Telephone            |    619-993-2519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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