Organization · Type 2 NPI

Active Sports Psychology, Apc

Community/Behavioral Health Agency · Tustin, CA

NPI number 1649636903 Active

Practice location

10825 Duroy Ct
Tustin, CA 92782-1341

Call (714) 625-7784 Map

Fax (714) 838-0186

Mailing address

2030 E 4th St, Suite 134
Santa Ana, CA 92705-3940

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	PSY13159 (CA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1649636903

Active Sports Psychology, Apc's National Provider Identifier is 1649636903, issued on Jan 1, 2016. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Tustin, CA. The record was last updated on Jan 1, 2016.