| Cys Hart Community Homes Prewitt | |
|
706 E Meats Ave Orange CA 92865-3855 | |
| (949) 680-9529 | |
| Not Available |
| Full Name | Cys Hart Community Homes Prewitt |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 706 E Meats Ave, Orange, California |
| Authorized Official Name and Position | Carissa Hart-buniveth (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7145262729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cys Hart Community Homes Prewitt 24872 Luna Bonita Dr Laguna Hills CA 92653-5643 Ph: (949) 680-9529 | Cys Hart Community Homes Prewitt 706 E Meats Ave Orange CA 92865-3855 Ph: (949) 680-9529 |
| NPI Number | 1437627965 |
|---|---|
| Provider Enumeration Date | 11/02/2018 |
| Last Update Date | 02/13/2024 |
| Certification Date | 02/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437627965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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