| Within Health Provider Services | |
|
2450 Colorado Ave Ste 100e Santa Monica CA 90404-5535 | |
| (866) 918-2114 | |
| Not Available |
| Full Name | Within Health Provider Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2450 Colorado Ave Ste 100e, Santa Monica, California |
| Authorized Official Name and Position | Christine Stockert (DIRECTOR OF HEALTH SERVICES) |
| Authorized Official Contact | 3057252028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Within Health Provider Services 2665 S Bayshore Dr Ste 220 Miami FL 33133-5402 Ph: (866) 918-2114 | Within Health Provider Services 2450 Colorado Ave Ste 100e Santa Monica CA 90404-5535 Ph: (866) 918-2114 |
| NPI Number | 1265104038 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265104038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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