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 |
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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 |
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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 |
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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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