Provider Demographics
NPI:1194114959
Name:PRIME PERFORMANCE HEALTH D.B.A. HITTING THE RIGHT NOTE
Entity type:Organization
Organization Name:PRIME PERFORMANCE HEALTH D.B.A. HITTING THE RIGHT NOTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCAFEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-230-0960
Mailing Address - Street 1:1218 E BROADWAY
Mailing Address - Street 2:SUITE 307
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-3639
Mailing Address - Country:US
Mailing Address - Phone:562-230-0960
Mailing Address - Fax:
Practice Address - Street 1:2600 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90222-1640
Practice Address - Country:US
Practice Address - Phone:562-230-0960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-16
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health