Organization
ACERA HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON HILGER (CHIEF EXECUTIVE OFFICER)
(949) 234-6250
Entity
Organization
Contact information
Practice address
601 DAHLIA AVE, CORONA DEL MAR, CA 92625-2102
(949) 518-0628
(949) 386-2212
Mailing address
3151 AIRWAY AVE STE P3, COSTA MESA, CA 92626-4626
(949) 228-4381
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306006131
DSS
CA
Enumeration date
05/13/2022
Last updated
08/21/2024
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