| Amhs Tao Central Fsp | |
|
12141 Brookhurst St Ste 101 Garden Grove CA 92840-2865 | |
| (714) 296-1934 | |
| (714) 426-8161 |
| Full Name | Amhs Tao Central Fsp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12141 Brookhurst St Ste 101, Garden Grove, California |
| Authorized Official Name and Position | Leslie Davis (SVP. CFO) |
| Authorized Official Contact | 5103377950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amhs Tao Central Fsp 1080 Marina Village Pkwy Ste 100 Alameda CA 94501-1078 Ph: (510) 337-7950 | Amhs Tao Central Fsp 12141 Brookhurst St Ste 101 Garden Grove CA 92840-2865 Ph: (714) 296-1934 |
| NPI Number | 1346737590 |
|---|---|
| Provider Enumeration Date | 04/13/2018 |
| Last Update Date | 06/21/2022 |
| Certification Date | 06/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346737590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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