| County Of Orange | |
|
200 W Santa Ana Blvd Ste 180 Santa Ana CA 92701-4134 | |
| (714) 935-2070 | |
| Not Available |
| Full Name | County Of Orange |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 200 W Santa Ana Blvd Ste 180, Santa Ana, California |
| Authorized Official Name and Position | Kelly Kathleen Sabet (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 7145685616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Orange 200 W Santa Ana Blvd Ste 180 Santa Ana CA 92701-4134 Ph: (714) 935-2070 | County Of Orange 200 W Santa Ana Blvd Ste 180 Santa Ana CA 92701-4134 Ph: (714) 935-2070 |
| NPI Number | 1023862687 |
|---|---|
| Provider Enumeration Date | 04/11/2024 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023862687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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