Collaborative Neuroscience Network, Llc

NPI 1174950851 - Psychiatric Hospital - 283Q00000X

NPI Details
NPI 1174950851
Enumeration Date 09/26/2013
Last Updated 09/26/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name DAVID PRESTON DAVID
Position CHIEF EXECUTIVE OFFICER
Phone (866) 787-4257
Fax
Practice Location
2600 REDONDO AVE
SUITE 500
LONG BEACH CA, 90806-2325, US
Phone (866) 787-4257
Fax
Business Location
12772 VALLEY VIEW ST
SUITE 3
GARDEN GROVE CA, 92845-2506, US
Phone (714) 799-7799
Fax
Toxanomy
Taxonomy Code 283Q00000X
License State California
License Number 02-020-043
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According to our database, Collaborative Neuroscience Network, Llc NPI is 1174950851, taxonomy code is 283Q00000X and license number is 02-020-043, license state is located at California. Collaborative Neuroscience Network, Llc physically located at 2600 Redondo Ave, Long Beach CA, 90806-2325. NPI Number 1033115704 has the healthcare provider type.

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1174950851 NPI number is provided on an as is basis without warranty of any kind. 1174950851 is maintained by the National Plan & Provider Enumeration System. The contents of Collaborative Neuroscience Network, Llc are for informational purposes only.