OrganizationActive
Center for Human Potential LLC
NPI 1295253300 · Psychiatric Residential Treatment Facility · Costa Mesa, CA
Provider details
- NPI number
- 1295253300
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Lorna Pham, Compliance Officer(949) 237-0893
Specialties & taxonomies
Residential Treatment Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Residential Treatment Facilities
Practice location
3151 Airway Ave Ste P3
Costa Mesa, CA 92626-4626
Phone: (310) 422-6744
Approximate (ZIP-level) locationGet directions
Mailing address
3151 Airway Ave Ste P3
Costa Mesa, CA 92626-4626
Registry dates
- Enumerated
- 2017-09-08
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.