| Enhance Psychiatric Advanced Nursing Services Inc | |
|
17846 Glenwood Rd Manteca CA 95336-9521 | |
| (866) 931-2587 | |
| (866) 380-0676 |
| Full Name | Enhance Psychiatric Advanced Nursing Services Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 17846 Glenwood Rd, Manteca, California |
| Authorized Official Name and Position | David Russell (PRESIDENT/CEO) |
| Authorized Official Contact | 6502744324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enhance Psychiatric Advanced Nursing Services Inc 17846 Glenwood Rd Manteca CA 95336-9521 Ph: (650) 274-4324 | Enhance Psychiatric Advanced Nursing Services Inc 17846 Glenwood Rd Manteca CA 95336-9521 Ph: (866) 931-2587 |
| NPI Number | 1437826286 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 02/24/2023 |
| Certification Date | 02/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437826286 | NPI | - | NPPES |
| 1477167666 | Medicaid | CA |
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