Organization
EVALUATION & TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOVITA BUENCONSEJO (RN-CCN-II)
(714) 834-6900
Entity
Organization
Contact information
Practice address
1030 W WARNER AVE, SANTA ANA, CA 92707-3147
(714) 834-6900
Mailing address
1030 W WARNER AVE, SANTA ANA, CA 92707-3147
(714) 834-6900
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
03/18/2009
Last updated
03/26/2009
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