Organization
GUARDIAN HEALTH CARE SERVICES
Active
Other names
D'Amore Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN WOODFORD SMITH (CHIEF ADMINISTRATIVE OFFICER)
(949) 892-3020
Entity
Organization
Contact information
Practice address
2902 S RENE DR, SANTA ANA, CA 92704-6222
(714) 375-1110
Mailing address
16541 GOTHARD ST STE 102, HUNTINGTON BEACH, CA 92647-4472
(714) 375-1110
(714) 242-9700
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306005543
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
CA
01
—
MHBT190278
CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES
CA
Enumeration date
04/16/2018
Last updated
07/09/2021
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