|
| |
|
200 W Santa Ana Blvd Ste 1000 Santa Ana CA 92701-7552 | |
| (714) 480-6767 | |
| (714) 568-4362 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 200 W Santa Ana Blvd Ste 1000, Santa Ana, California |
| Authorized Official Name and Position | Kelly Kathleen Sabet (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 7145817769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
405 W 5th St Ste 212 Santa Ana CA 92701-4522 Ph: (714) 568-5614 | 200 W Santa Ana Blvd Ste 1000 Santa Ana CA 92701-7552 Ph: (714) 480-6767 |
| NPI Number | 1356488753 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356488753 | NPI | - | NPPES |
| 3006 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
The Open Door Center For Integrative Healing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 N Golden Circle Dr Ste 312, Santa Ana, CA 92705 Phone: 714-393-1891 Fax: 714-242-1830 | |
Project Kinship Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2215 N Broadway Fl 2, Santa Ana, CA 92706 Phone: 714-941-8009 | |
County Of Orange Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W Santa Ana Blvd Ste 180, Santa Ana, CA 92701 Phone: 714-935-2070 | |
Mental Health Association Of Orange County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2416 S Main St, Suite A, Ab2034 Program, Santa Ana, CA 92707 Phone: 714-668-8498 Fax: 714-668-8499 | |
Patricia Ayala-guzman Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N Main St Ste 650, Santa Ana, CA 92701 Phone: 714-824-8140 Fax: 714-824-8141 |