THE AUTISM GROUP, INC.
Medical Practice at Black Mountain Rd, San Diego, CA

License number
California 6687
Category
Medical Practice
Type
Specialist
License number
California 5056
Category
Medical Practice
Type
Specialist
Owner
Name: BROOKE E. WAGNER M.A.
Title: OWNER/CEO
Phone: (858) 689-2027
Address
Address
9466 Black Mountain Rd SUITE 100, San Diego, CA 92126
National Provider ID: 1619265311
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about THE AUTISM GROUP, INC. at bizstanding.com

The Autism Group

San Diego, CA

Industry:
Specialty Outpatient Clinic
Doing business as:
The Autism Group, Inc
Registration:
Nov 7, 2005
Addresses:
9466 Black Mtn Rd, San Diego, CA 92126
9606 Tierra Grande St, San Diego, CA 92126
State ID:
02811305
Business type:
Articles of Incorporation
Chief Executive Officer, Owner, President:
Brooke Wagner (Chief Executive Officer, Owner, President)
Agent:
Janathan L. Allen

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