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Organization
EDEN BY ENHANCE LLC
Active
Organization
EDEN BY ENHANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA KHOUIE MA (CLINICAL DIRECTOR)
(833) 903-3334
Entity
Organization
Contact information
Practice address
35 MANN ST, IRVINE, CA 92612-2741
(833) 903-3334
Mailing address
35 MANN ST, IRVINE, CA 92612-2741
(833) 903-3334
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
04/05/2023
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