Cys Waymakers Children's Residential Program Tustin | |
14632 Yorba St Tustin CA 92780 | |
(714) 714-0780 | |
(714) 884-4309 |
Full Name | Cys Waymakers Children's Residential Program Tustin |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 14632 Yorba St, Tustin, California |
Authorized Official Name and Position | Ronnetta Johnson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9492500488 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cys Waymakers Children's Residential Program Tustin 440 Exchange Ste 250 Irvine CA 92602-1390 Ph: (714) 714-0780 | Cys Waymakers Children's Residential Program Tustin 14632 Yorba St Tustin CA 92780 Ph: (714) 714-0780 |
NPI Number | 1629430335 |
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Provider Enumeration Date | 03/22/2016 |
Last Update Date | 10/06/2023 |
Certification Date | 10/06/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629430335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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