Magnolia 9 LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Westminster, CA. Organization (NPI-2).
NPI number1275357725
StatusActive
Last updated in NPPESNov 12, 2024
Details
- NPI
- 1275357725
- Entity type
- Organization (NPI-2)
- Legal business name
- Magnolia 9 LLC
- Organization subpart
- Yes
- Enumeration date
- Nov 12, 2024
- Certification date
- Nov 12, 2024
- Last updated
- Nov 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
14550 Magnolia St Ste 101Westminster, CA 92683-5586
Phone 402-250-8989 · Fax 714-475-2746
Mailing address
151 Kalmus Dr Ste A203Costa Mesa, CA 92626-5999
Phone 402-250-8989 · Fax 714-475-2746
Authorized official
James Sewell
Ceo
4022508989
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