| Peer Mental Wellness Llc | |
|
305 W 4th St Santa Ana CA 92701-4502 | |
| (714) 316-5235 | |
| (512) 532-0923 |
| Full Name | Peer Mental Wellness Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 305 W 4th St, Santa Ana, California |
| Authorized Official Name and Position | Tyler Penrod (ADMIN) |
| Authorized Official Contact | 3059004715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peer Mental Wellness Llc 305 W 4th St Santa Ana CA 92701-4502 Ph: (714) 316-5235 | Peer Mental Wellness Llc 305 W 4th St Santa Ana CA 92701-4502 Ph: (714) 316-5235 |
| NPI Number | 1134704307 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 03/10/2021 |
| Certification Date | 03/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134704307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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