| Cys Pathways Community Services Garden Grove | |
|
12966 Euclid St 200, 220 And 280 Garden Grove CA 92840-5200 | |
| (714) 823-4770 | |
| (714) 823-4777 |
| Full Name | Cys Pathways Community Services Garden Grove |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12966 Euclid St, Garden Grove, California |
| Authorized Official Name and Position | Tracy Ginter (DIRECTOR OF STATE OPERATIONS) |
| Authorized Official Contact | 6574659497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cys Pathways Community Services Garden Grove 8337 Telegraph Rd Ste 300 Pico Rivera CA 90660-4957 Ph: (562) 467-5440 | Cys Pathways Community Services Garden Grove 12966 Euclid St 200, 220 And 280 Garden Grove CA 92840-5200 Ph: (714) 823-4770 |
| NPI Number | 1467781013 |
|---|---|
| Provider Enumeration Date | 12/10/2009 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467781013 | NPI | - | NPPES |
| LEGAL ENTITY # 00801 | Other | CA | MEDICAL PROVIDER NUMBER 30EV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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