Organization
CALIFORNIA MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY HINSON (AUTHORIZED OFFICIAL)
(949) 506-6162
Entity
Organization
Contact information
Practice address
14865 MARIE CT, SAN MARTIN, CA 95046-9753
(949) 506-6162
Mailing address
2915 RED HILL AVE STE A200, COSTA MESA, CA 92626-7978
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
435202907
DEPARTMENT OF SOCIAL SERVICES
CA
Enumeration date
10/13/2023
Last updated
07/17/2024
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