Organization
MAGNOLIA 9 LLC
Active
Parent organization
MAGNOLIA 9 LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGNOLIA 9 LLC
Authorized official
JAMES SEWELL (CEO)
(402) 250-8989
Entity
Organization
Contact information
Practice address
14550 MAGNOLIA ST STE 101, WESTMINSTER, CA 92683-5586
(402) 250-8989
(714) 475-2746
Mailing address
151 KALMUS DR STE A203, COSTA MESA, CA 92626-5999
(402) 250-8989
(714) 475-2746
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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