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Jade Behavioral Consultants

Community/Behavioral Health in Anaheim, CA. Organization (NPI-2).

NPI number1982151064
StatusActive
Last updated in NPPESSep 6, 2016

Details

NPI
1982151064
Entity type
Organization (NPI-2)
Legal business name
Jade Behavioral Consultants
Organization subpart
No
Enumeration date
Sep 6, 2016
Last updated
Sep 6, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health1-14-10254CAYes

Practice location

2115 W Crescent Ave Ste 244
Anaheim, CA 92801-3836

Phone 818-577-8743

Mailing address

2115 W Crescent Ave Ste 244
Anaheim, CA 92801-3836

Phone 818-577-8743

Authorized official

Marlon A. Tilmon
Ceo
8185778743

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