| Cys Family Preservation Community Services Wraparound | |
|
2112 East 4th Street Suite 107 Santa Ana CA 92705 | |
| (714) 399-1860 | |
| (714) 399-1867 |
| Full Name | Cys Family Preservation Community Services Wraparound |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2112 East 4th Street, Santa Ana, California |
| Authorized Official Name and Position | Theresa Stoller (PROGRAM DIRECTOR) |
| Authorized Official Contact | 7143991860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cys Family Preservation Community Services Wraparound 2112 East 4th Street Suite 107 Santa Ana CA 92705 Ph: (714) 399-1860 | Cys Family Preservation Community Services Wraparound 2112 East 4th Street Suite 107 Santa Ana CA 92705 Ph: (714) 399-1860 |
| NPI Number | 1609075993 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 10/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609075993 | NPI | - | NPPES |
| PROVIDER # 30EB | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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