Organization
HEALTH CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA A FOLLMER (CLINICAL SOCIAL WORKER I)
(949) 395-5052
Entity
Organization
Contact information
Practice address
42 VIA FLORENCIA, MISSION VIEJO, CA 92692-5961
(949) 395-5052
Mailing address
42 VIA FLORENCIA, MISSION VIEJO, CA 92692-5961
(949) 395-5052
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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