| Amhs Telecare Home First Fsp Central | |
|
12141 Brookhurst St Ste 201 Garden Grove CA 92840-2865 | |
| (657) 261-7140 | |
| Not Available |
| Full Name | Amhs Telecare Home First Fsp Central |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12141 Brookhurst St Ste 201, 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 Telecare Home First Fsp Central 1080 Marina Village Pkwy Ste 100 Alameda CA 94501-1078 Ph: (510) 337-7950 | Amhs Telecare Home First Fsp Central 12141 Brookhurst St Ste 201 Garden Grove CA 92840-2865 Ph: (657) 261-7140 |
| NPI Number | 1992312805 |
|---|---|
| Provider Enumeration Date | 09/24/2020 |
| Last Update Date | 04/26/2022 |
| Certification Date | 04/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992312805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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