Organization
UNIVERSAL BEHAVIORAL HEALTH
Active
Other names
Axiom OC Sober Living
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PRIESING (PRESIDENT)
(657) 342-0265
Entity
Organization
Contact information
Practice address
2414 S FAIRVIEW ST STE 215, SANTA ANA, CA 92704-5318
(949) 300-1657
Mailing address
2414 S FAIRVIEW ST STE 215, SANTA ANA, CA 92704-5318
(949) 300-1657
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
302R00000X
Health Maintenance Organization
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/18/2021
Last updated
08/20/2024
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