Organization
ADOLESCENT MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY FLETCHER (AUTHORIZED OFFICIAL)
(951) 999-4390
Entity
Organization
Contact information
Practice address
129 W WILSON ST STE 200, COSTA MESA, CA 92627-1586
(951) 999-4390
Mailing address
2108 N ST # 8615, SACRAMENTO, CA 95816-5712
(951) 999-4390
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
03/06/2026
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