Organization
OASIS
Active
Other names
Providence
Organization subpart
No
Provider details
NPI number
Authorized official
SHEARLY CHAMBLESS LCSW (PROGRAM DIRECTOR)
(714) 399-3480
Entity
Organization
Contact information
Practice address
1900 E LA PALMA AVE, 101, ANAHEIM, CA 92805-1647
(714) 399-3480
(714) 399-3481
Mailing address
1900 E LA PALMA AVE, 101, ANAHEIM, CA 92805-1647
(714) 399-3480
(714) 399-3481
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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