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Organization
REVISION
Active
Organization
REVISION
Active
Other names
Revision Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES FRANK SANDO (VICE CHAIR, BOARD OF DIRECTORS)
(714) 206-7754
Entity
Organization
Contact information
Practice address
136 S IMPERIAL HWY, ANAHEIM, CA 92807-3943
(714) 602-8855
Mailing address
136 S IMPERIAL HWY, ANAHEIM, CA 92807-3943
(714) 602-8855
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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