| Amhs Telecare Wit Fsp | |
|
1910 N Bush St Santa Ana CA 92706-2816 | |
| (714) 361-7950 | |
| (714) 361-7966 |
| Full Name | Amhs Telecare Wit Fsp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1910 N Bush St, Santa Ana, 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 Wit Fsp 1080 Marina Village Pkwy Suite 100 Alameda CA 94501-6427 Ph: (510) 337-7950 | Amhs Telecare Wit Fsp 1910 N Bush St Santa Ana CA 92706-2816 Ph: (714) 361-7950 |
| NPI Number | 1801159389 |
|---|---|
| Provider Enumeration Date | 06/20/2012 |
| Last Update Date | 05/04/2020 |
| Certification Date | 05/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801159389 | NPI | - | NPPES |
| CR722L | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (California) | Primary |
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