| Jade Behavioral Consultants | |
|
2115 W Crescent Ave Ste 244 Anaheim CA 92801-3836 | |
| (818) 577-8743 | |
| Not Available |
| Full Name | Jade Behavioral Consultants |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2115 W Crescent Ave Ste 244, Anaheim, California |
| Authorized Official Name and Position | Marlon A. Tilmon (CEO) |
| Authorized Official Contact | 8185778743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jade Behavioral Consultants 2115 W Crescent Ave Ste 244 Anaheim CA 92801-3836 Ph: (818) 577-8743 | Jade Behavioral Consultants 2115 W Crescent Ave Ste 244 Anaheim CA 92801-3836 Ph: (818) 577-8743 |
| NPI Number | 1982151064 |
|---|---|
| Provider Enumeration Date | 09/06/2016 |
| Last Update Date | 09/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982151064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1-14-10254 (California) | Primary |
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