| Socal Adolescent Wellness, Inc. | |
|
16052 Beach Blvd Ste 135 Huntington Beach CA 92647-3817 | |
| (402) 250-8989 | |
| Not Available |
| Full Name | Socal Adolescent Wellness, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 16052 Beach Blvd Ste 135, Huntington Beach, California |
| Authorized Official Name and Position | James Sewell (COOWNER) |
| Authorized Official Contact | 4022408989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Socal Adolescent Wellness, Inc. 7641 Talbert Ave Ste 215 Huntington Beach CA 92648-8617 Ph: () - | Socal Adolescent Wellness, Inc. 16052 Beach Blvd Ste 135 Huntington Beach CA 92647-3817 Ph: (402) 250-8989 |
| NPI Number | 1023598299 |
|---|---|
| Provider Enumeration Date | 08/17/2018 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023598299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (California) | Primary |
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