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 |
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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 |
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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 |
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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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