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18 Technology Dr Ste 118 Irvine CA 92618-2310 | |
| (949) 922-4564 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 18 Technology Dr Ste 118, Irvine, California |
| Authorized Official Name and Position | Kristie Lea Houk Cain (CEO/PRESIDENT) |
| Authorized Official Contact | 9499224564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
18 Technology Dr Ste 118 Irvine CA 92618-2310 Ph: (949) 922-4564 | 18 Technology Dr Ste 118 Irvine CA 92618-2310 Ph: (949) 922-4564 |
| NPI Number | 1003563404 |
|---|---|
| Provider Enumeration Date | 03/04/2022 |
| Last Update Date | 02/18/2023 |
| Certification Date | 02/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003563404 | NPI | - | NPPES |
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