OrganizationActive
Adolescent Mental Health LLC
NPI 1669241576 · Community/Behavioral Health Agency · Costa Mesa, CA
Provider details
- NPI number
- 1669241576
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Anthony Fletcher, Authorized Official(951) 999-4390
Specialties & taxonomies
Agencies
Practice location
129 W Wilson St Ste 200
Costa Mesa, CA 92627-1586
Phone: (951) 999-4390
Approximate (ZIP-level) locationGet directions
Mailing address
2108 N St # 8615
Sacramento, CA 95816-5712
Registry dates
- Enumerated
- 2023-12-20
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.