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Organization
SAGEBRUSH LLC
Active
Organization
SAGEBRUSH LLC
Active
Other names
The Edge Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
AARON BAILEY (GENERAL COUNSEL)
(949) 298-9228
Entity
Organization
Contact information
Practice address
550 N GOLDEN CIRCLE DR STE A, SANTA ANA, CA 92705-3977
(800) 778-1772
(714) 699-4984
Mailing address
20500 BELSHAW AVENUE DPT 2034, CARSON, CA 90746-3506
(949) 298-9228
(714) 699-4984
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
11/06/2018
Last updated
01/15/2025
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