| Blessed Behavior Llc | |
|
16001 Legacy Rd Unit 316 Tustin CA 92782-2777 | |
| (714) 576-8898 | |
| (949) 264-9490 |
| Full Name | Blessed Behavior Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16001 Legacy Rd Unit 316, Tustin, California |
| Authorized Official Name and Position | Yesenia Flores (CEO) |
| Authorized Official Contact | 7145768898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blessed Behavior Llc 2312 Park Ave # 196 Tustin CA 92782-2702 Ph: (714) 576-8898 | Blessed Behavior Llc 16001 Legacy Rd Unit 316 Tustin CA 92782-2777 Ph: (714) 576-8898 |
| NPI Number | 1932928033 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932928033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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