JEFFREY L ALLEN

COSTA MESA, CA
NPI1225753205
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2022-10-11
Last Update Date2022-10-11
Business Address
Mr. JEFFREY L ALLEN
3151 AIRWAY AVE
COSTA MESA, CA 92626-4607
Phone number: 949-234-8094
Mailing Address
Mr. JEFFREY L ALLEN
3151 AIRWAY AVE
COSTA MESA, CA 92626-4607
Phone number: 949-234-8094