| Cys Waymakers Collaborative Courts Guidance Center | |
|
16580 Harbor Blvd Unit O Fountain Valley CA 92708 | |
| (714) 975-5201 | |
| (714) 975-5220 |
| Full Name | Cys Waymakers Collaborative Courts Guidance Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16580 Harbor Blvd, Fountain Valley, 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 |
|---|---|
| Cys Waymakers Collaborative Courts Guidance Center 440 Exchange Ste 250 Irvine CA 92602-1390 Ph: (949) 250-0488 | Cys Waymakers Collaborative Courts Guidance Center 16580 Harbor Blvd Unit O Fountain Valley CA 92708 Ph: (714) 975-5201 |
| NPI Number | 1982913612 |
|---|---|
| Provider Enumeration Date | 09/29/2010 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982913612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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