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Organization
NINETEEN BEHAVIORAL GROUP
Active
Organization
NINETEEN BEHAVIORAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALLAS AGUILAR (DIRECTOR)
(714) 783-5518
Entity
Organization
Contact information
Practice address
1563 W EMBASSY ST, ANAHEIM, CA 92802-1016
(714) 783-5518
Mailing address
1563 W EMBASSY ST, ANAHEIM, CA 92802-1016
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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