| Rooted In Play | |
|
21282 Beach Blvd Apt 101 Huntington Beach CA 92648-5720 | |
| (310) 890-3117 | |
| (866) 817-8882 |
| Full Name | Rooted In Play |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 21282 Beach Blvd Apt 101, Huntington Beach, California |
| Authorized Official Name and Position | Jenifer L Eaton (OWNER/PARTNER) |
| Authorized Official Contact | 3108903117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted In Play 1077 Belmont Ave Long Beach CA 90804-4225 Ph: (310) 890-3117 | Rooted In Play 21282 Beach Blvd Apt 101 Huntington Beach CA 92648-5720 Ph: (310) 890-3117 |
| NPI Number | 1063957371 |
|---|---|
| Provider Enumeration Date | 12/21/2016 |
| Last Update Date | 12/09/2022 |
| Certification Date | 12/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063957371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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