PES-EBS.INC. NPI 1851763882

NPI Details

PES-EBS.INC. is a community behavioral health in Santa Ana, CA. The provider is 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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PES-EBS.INC. NPI is 1851763882. The provider is registered as an organization entity type.

The provider's business location address is:

600 W SANTA ANA BLVD
SUITES 107, 108, 109, & 110
SANTA ANA, CA
ZIP 92701-458
Phone: (714) 667-7926
Fax: (530) 888-9065

The provider's authorized official is Walter Stockman .
The authorized official title is President and has the following contact phone number (530) 888-1010.

The CLIA number assigned to this NPI record is 05D2298280 - other - outpatient councel with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2015 and was last updated on 9/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.