| Center For Human Potential Llc | |
|
3151 Airway Ave Ste P3 Costa Mesa CA 92626-4626 | |
| (310) 422-6744 | |
| Not Available |
| Full Name | Center For Human Potential Llc |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 3151 Airway Ave Ste P3, Costa Mesa, California |
| Authorized Official Name and Position | Lorna Pham (COMPLIANCE OFFICER) |
| Authorized Official Contact | 9492370893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Human Potential Llc 3151 Airway Ave Ste P3 Costa Mesa CA 92626-4626 Ph: (310) 422-6744 | Center For Human Potential Llc 3151 Airway Ave Ste P3 Costa Mesa CA 92626-4626 Ph: (310) 422-6744 |
| NPI Number | 1295253300 |
|---|---|
| Provider Enumeration Date | 09/08/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295253300 | NPI | - | NPPES |
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