Sublime Health Corp
Clinic/Center, Multi-Specialty in Santa Ana, CA. Organization (NPI-2).
NPI number1114697125
StatusActive
Last updated in NPPESSep 20, 2021
Details
- NPI
- 1114697125
- Entity type
- Organization (NPI-2)
- Legal business name
- Sublime Health Corp
- Organization subpart
- No
- Enumeration date
- Sep 20, 2021
- Certification date
- Sep 20, 2021
- Last updated
- Sep 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | |
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – |
Practice location
2021 Cypress AveSanta Ana, CA 92707-2847
Phone 800-935-2305 · Fax 714-398-8822
Mailing address
8211 E Regal Pl Ste 102Tulsa, OK 74133-7181
Phone 800-935-2305 · Fax 714-398-8822
Authorized official
Michael Priesing
President
9493001657
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