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California Mental Health Connection
Student in an Organized Health Care Education/Training Program in West Covina, California
NPI 1558672360

California Mental Health Connection is a Student in an Organized Health Care Education/Training Program based in West Covina, CA. California Mental Health Connection practices in West Covina, CA. The NPI Number for California Mental Health Connection is 1558672360 and holds a License No. 198601281 (California).

The current practice location address for California Mental Health Connection is 714 N. Sunset Ave, West Covina, CA and can be reached out via phone at 626-453-6234 and via fax at 626-430-7404.

Location: 714 N. Sunset Ave, West Covina, CA, 91792
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558672360
Provider Name
California Mental Health Connection
Credential
Provider Entity Type
Organization
Address
714 N. Sunset Ave, West Covina, CA, 91792
Phone Number
626-453-6234
Fax Number
626-430-7404
Provider Enumeration Date
06/25/2010
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
198601281 01 STATE OF CALIFORNIA DPT OF SOCIAL SERVICES
institution
Provider Business Practice Location Address Details
Address
714 N. Sunset Ave
City
West Covina
State
California
Zip
91790
Phone Number
626-453-6234
Fax Number
626-430-7404
person
Provider Business Mailing Address Details
Address
714 N. Sunset Ave
City
West Covina
State
California
Zip
91790
Phone Number
626-453-6234
Fax Number
626-430-7404
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
198601281 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
198601281 (California)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
198601281 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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