Organization
MENTAL HEALTH HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BRUMBACK (PRESIDENT)
(949) 303-8951
Entity
Organization
Contact information
Practice address
137 THE MASTERS CIR, COSTA MESA, CA 92627-4640
(949) 371-2414
Mailing address
4701 TELLER AVE STE 150, NEWPORT BEACH, CA 92660-8144
(949) 303-8951
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
08/11/2023
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