Organization
GREEN MEADOWS MIND HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SAFANI MD, MBA (PRESIDENT)
(949) 371-9551
Entity
Organization
Contact information
Practice address
20377 SW ACACIA ST STE 200, NEWPORT BEACH, CA 92660-1780
(949) 371-9551
Mailing address
20377 SW ACACIA ST STE 200, NEWPORT BEACH, CA 92660-1780
(949) 391-5771
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003133521
—
CA
Enumeration date
09/04/2023
Last updated
09/04/2023
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