| Changes Mh | |
|
2787 Bristol St Costa Mesa CA 92626-5956 | |
| (949) 873-2106 | |
| Not Available |
| Full Name | Changes Mh |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2787 Bristol St, Costa Mesa, California |
| Authorized Official Name and Position | Jennifer Vasey (PROGRAM DIRECTOR) |
| Authorized Official Contact | 8017507648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changes Mh 2787 Bristol St Costa Mesa CA 92626-5956 Ph: (949) 873-2106 | Changes Mh 2787 Bristol St Costa Mesa CA 92626-5956 Ph: (949) 873-2106 |
| NPI Number | 1699581520 |
|---|---|
| Provider Enumeration Date | 12/05/2024 |
| Last Update Date | 12/05/2024 |
| Certification Date | 12/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699581520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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