| Yellowstone Women's First Step House Inc. | |
|
2001 Harbor Blvd Suite 200 Costa Mesa CA 92626 | |
| (888) 941-9048 | |
| (949) 646-5296 |
| Full Name | Yellowstone Women's First Step House Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2001 Harbor Blvd, Costa Mesa, California |
| Authorized Official Name and Position | Benjamin Spencer (PROGRAM MANAGER) |
| Authorized Official Contact | 9496783014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yellowstone Women's First Step House Inc. 154 E Bay St Costa Mesa CA 92627-2147 Ph: (888) 941-9048 | Yellowstone Women's First Step House Inc. 2001 Harbor Blvd Suite 200 Costa Mesa CA 92626 Ph: (888) 941-9048 |
| NPI Number | 1023463999 |
|---|---|
| Provider Enumeration Date | 04/28/2016 |
| Last Update Date | 04/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023463999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 300121IN (California) | Primary |
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