| Nineteen Behavioral Group | |
|
1563 W Embassy St Anaheim CA 92802-1016 | |
| (714) 783-5518 | |
| Not Available |
| Full Name | Nineteen Behavioral Group |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1563 W Embassy St, Anaheim, California |
| Authorized Official Name and Position | Dallas Aguilar (DIRECTOR) |
| Authorized Official Contact | 7147835518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nineteen Behavioral Group 1563 W Embassy St Anaheim CA 92802-1016 | Nineteen Behavioral Group 1563 W Embassy St Anaheim CA 92802-1016 Ph: (714) 783-5518 |
| NPI Number | 1689206039 |
|---|---|
| Provider Enumeration Date | 02/04/2020 |
| Last Update Date | 02/04/2020 |
| Certification Date | 02/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689206039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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