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General NPI Number Information
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NPI Number | 1679087118
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Entity Type | Organization
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Legal Business Name | HIDDEN STRENGTH BEHAVIORAL HEALTH, INC.
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Dates
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Enumeration Date | 11/20/2017
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 17821 17TH ST STE 160
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City | TUSTIN
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State | CA
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Zip | 92780-2172
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Country | US
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Telephone | 949-751-9744
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Fax |
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Provider Business Mailing Address
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Address Line | 3151 AIRWAY AVE STE T2
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City | COSTA MESA
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State | CA
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Zip | 92626-4627
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Country | US
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Telephone | 310-909-3400
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Fax | 949-755-0086
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Authorized Official
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Title or Position | COO
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Name | ANDRE L MCPHAIL
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Credential |
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Telephone | 310-909-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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