DEMETRIUS ALAN GREENE

LEMON GROVE, CA
NPI1184194490
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-11-29
Last Update Date2018-11-29
Business Address
DEMETRIUS ALAN GREENE
2219 ODESSA CT
LEMON GROVE, CA 91945-3609
Phone number: 619-461-4871
Mailing Address
DEMETRIUS ALAN GREENE
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-442-0277
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