Organization
AXIS MENTAL HEALTH, LLC
Active
Parent organization
AXIS MENTAL HEALTH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AXIS MENTAL HEALTH, LLC
Authorized official
DARRYLE MACKELVEY (SUPERVISOR)
(714) 948-6086
Entity
Organization
Contact information
Practice address
1230 W SANTA ANA BLVD, SANTA ANA, CA 92703-3835
(949) 501-5979
Mailing address
1230 W SANTA ANA BLVD, SANTA ANA, CA 92703-3835
(714) 582-2714
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
10/28/2019
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