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Organization
GUARDIAN HEALTH CARE SERVICES
Active
Organization
GUARDIAN HEALTH CARE SERVICES
Active
Other names
D'Amore Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN WOODFORD SMITH (CHIEF ADMINISTRATIVE OFFICER)
(949) 892-3020
Entity
Organization
Contact information
Practice address
2902 S RENE DR, SANTA ANA, CA 92704-6222
(714) 375-1110
Mailing address
16541 GOTHARD ST STE 102, HUNTINGTON BEACH, CA 92647-4472
(714) 375-1110
(714) 242-9700
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306005543
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
CA
01
—
MHBT190278
CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES
CA
Enumeration date
04/16/2018
Last updated
07/09/2021
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