MEDICARE: PSYCH HEALTH CENTERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	323P00000X	Psychiatric Residential Treatment Facility

General Provider Information

NPI Number	:	1295343051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCH HEALTH CENTERS

Provider Business Mailing Address
First Line	:	PO BOX 9296
Second Line	:
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92652-7261
Country	:	US
Telephone Number	:	949-313-5240
Fax Number	:	949-313-5240

Provider Business Practice Location Address
First Line	:	1404 N PALM CANYON DR
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4408
Country	:	US
Telephone Number	:	949-313-5240
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATIONS OFFICER
Name	:	CINDY KAY SALO GARCIA
Credential	:
Telephone Number	:	949-313-5240

Provider Enumeration Date	:	07/17/2020
Last Update Date	:	07/17/2020

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Directions to “PSYCH HEALTH CENTERS ” Practice Location

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