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Organization

FUTURES UNWALLED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY NICOLE MEHR (EXECUTIVE DIRECTOR)
(714) 253-4060
Entity
Organization

Contact information

Practice address
16161 PARKSIDE LN APT 88, HUNTINGTON BEACH, CA 92647-3797
(714) 253-4060
Mailing address
16787 BEACH BLVD # 1005, HUNTINGTON BEACH, CA 92647-4848
(714) 253-4060

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
06/17/2025
Last updated
06/17/2025
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