Organization
PEER MENTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER PENROD (ADMIN)
(305) 900-4715
Entity
Organization
Contact information
Practice address
305 W 4TH ST, SANTA ANA, CA 92701-4502
(714) 316-5235
(512) 532-0923
Mailing address
305 W 4TH ST, SANTA ANA, CA 92701-4502
(714) 316-5235
(512) 532-0923
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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