| Amhs Project Shine-oc Fsp | |
|
12966 Euclid St Ste 495 Garden Grove CA 92840-9209 | |
| (714) 636-9095 | |
| (714) 591-5015 |
| Full Name | Amhs Project Shine-oc Fsp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12966 Euclid St Ste 495, Garden Grove, California |
| Authorized Official Name and Position | Mary Anne Foo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7146369095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amhs Project Shine-oc Fsp 12912 Brookhurst St Ste 410 Garden Grove CA 92840-4871 Ph: (714) 636-9096 | Amhs Project Shine-oc Fsp 12966 Euclid St Ste 495 Garden Grove CA 92840-9209 Ph: (714) 636-9095 |
| NPI Number | 1033896444 |
|---|---|
| Provider Enumeration Date | 06/28/2023 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033896444 | NPI | - | NPPES |
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