Organization
UNIFIED BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYLE LEE MACKELVEY (SUPERVISOR)
(714) 948-6086
Entity
Organization
Contact information
Practice address
1218 W SANTA ANA BLVD, SANTA ANA, CA 92705
(949) 344-2742
Mailing address
PO BOX 516578, LOS ANGELES, CA 90051
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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