Organization
GLORY MENTAL HEALTH A PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUYEON SHIN (CEO)
(805) 886-5200
Entity
Organization
Contact information
Practice address
2501 E CHAPMAN AVE STE 106, FULLERTON, CA 92831-3135
(805) 886-5200
Mailing address
2501 E CHAPMAN AVE STE 106, FULLERTON, CA 92831-3135
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
05/03/2024
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