| Adolescent Mental Health Llc | |
|
129 W Wilson St Ste 200 Costa Mesa CA 92627-1586 | |
| (951) 999-4390 | |
| Not Available |
| Full Name | Adolescent Mental Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 129 W Wilson St Ste 200, Costa Mesa, California |
| Authorized Official Name and Position | Anthony Fletcher (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9519994390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adolescent Mental Health Llc 2108 N St # 8615 Sacramento CA 95816-5712 Ph: (951) 999-4390 | Adolescent Mental Health Llc 129 W Wilson St Ste 200 Costa Mesa CA 92627-1586 Ph: (951) 999-4390 |
| NPI Number | 1669241576 |
|---|---|
| Provider Enumeration Date | 12/20/2023 |
| Last Update Date | 03/06/2026 |
| Certification Date | 03/06/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669241576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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