person
Octavia Maria Kimble
Mental Health Clinic/Center (Including Community Mental Health Center) in San Diego, California
NPI 1205411725

Octavia Maria Kimble is a Mental Health Clinic/Center (Including Community Mental Health Center) based in San Diego, CA and is specialized in Mental Health (Including Community Mental Health Center). Octavia Maria Kimble practices in San Diego, CA. The NPI Number for Octavia Maria Kimble is 1205411725 and holds a License No. (California).

The current practice location address for Octavia Maria Kimble is 823 Gateway Center Way, San Diego, CA and can be reached out via phone at 619-515-2300.

Location: 823 Gateway Center Way, San Diego, CA, 92102-4541
person
Provider Profile Details
NPI Number
1205411725
Provider Name
Octavia Maria Kimble
Credential
Provider Entity Type
Individual
Gender
Female
Address
823 Gateway Center Way, San Diego, CA, 92102-4541
Phone Number
619-515-2300
Fax Number
Provider Enumeration Date
03/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
823 Gateway Center Way
City
State
Zip
92102-4541
Phone Number
619-515-2300
Fax Number
person
Provider Business Mailing Address Details
Address
823 Gateway Center Way
City
State
Zip
92102-4541
Phone Number
619-515-2300
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
(California)
Definition
Definition to come...
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