OrganizationRenewed Community Mental HealthPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address520 N Brookhurst St Ste 120, Anaheim, CA 92801-5233(714) 333-3559(626) 429-0088PECOS EnrollmentBased on the most recent information from CMS, provider Renewed Community Mental Health does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1912736026Provider TypeOrganizationFull NameRenewed Community Mental HealthSubpartNoEnumeration Date7/29/2024Last Updated12/10/2024Contact InformationPractice LocationPractice Address520 N Brookhurst St Ste 120, Anaheim, CA 92801-5233Phone(714) 333-3559Fax(714) 333-3559Mailing LocationMailing Address11278 Los Alamitos Blvd Unit 905, Los Alamitos, CA 90720-3958Phone(626) 429-0088FaxUnlisted FaxAuthorized OfficialNameTea, Jackson (Cfo)Phone(626) 429-0088Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode103TP2701XDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode2084P0804XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode363LP0808XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer