Individual provider · Type 1 NPI
Jeffrey L. Allen Jr.
Mental Illness Community Based Residential Treatment Facility · Costa Mesa, CA
NPI number
1225753205
Active
Practice location
3151 Airway Ave
Costa Mesa, CA 92626-4607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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About NPI 1225753205
Jeffrey L. Allen Jr.'s National Provider Identifier is 1225753205, issued on Oct 11, 2022. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Costa Mesa, CA. The record was last updated on Oct 11, 2022.