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Mr. Jeffrey L Allen JR.
Mental Illness Community Based Residential Treatment Facility in Costa Mesa, California
NPI 1225753205

Jeffrey L Allen JR. is a Mental Illness Community Based Residential Treatment Facility based in Costa Mesa, CA. Jeffrey L Allen JR. practices in Costa Mesa, CA. The NPI Number for Jeffrey L Allen JR. is 1225753205 and holds a License No. (California).

The current practice location address for Jeffrey L Allen JR. is 3151 Airway Ave, Costa Mesa, CA and can be reached out via phone at 949-234-8094.

Location: 3151 Airway Ave, Costa Mesa, CA, 92626-4607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225753205
Provider Name
Jeffrey L Allen JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
3151 Airway Ave, Costa Mesa, CA, 92626-4607
Phone Number
949-234-8094
Fax Number
Provider Enumeration Date
10/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3151 Airway Ave
City
Costa Mesa
State
California
Zip
92626-4607
Phone Number
949-234-8094
Fax Number
person
Provider Business Mailing Address Details
Address
3151 Airway Ave
City
Costa Mesa
State
California
Zip
92626-4607
Phone Number
949-234-8094
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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