MEDICARE: CH MH SERVICES (CA), LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	261QM0850X	Adult Mental Health Clinic/Center
3	251S00000X	Community/Behavioral Health Agency
4	3245S0500X	Children's Substance Abuse Rehabilitation Facility
5	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
6	324500000X	Substance Abuse Rehabilitation Facility
7	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1851982110
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CH MH SERVICES (CA), LLC

Provider Business Mailing Address
First Line	:	169 MADISON AVE STE 15011
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-5101
Country	:	US
Telephone Number	:	406-219-7835
Fax Number	:	406-794-0352

Provider Business Practice Location Address
First Line	:	1041 E YORBA LINDA BLVD STE 302
Second Line	:
City	:	PLACENTIA
State	:	CA
Zip	:	92870-3762
Country	:	US
Telephone Number	:	986-206-0414
Fax Number	:

Authorized Official
Title or Position	:	VP, RCM
Name	:	CHARIE BRYANT
Credential	:
Telephone Number	:	803-955-6655

Provider Enumeration Date	:	01/29/2021
Last Update Date	:	11/14/2025

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Directions to “CH MH SERVICES (CA), LLC ” Practice Location

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