| Cys Juvenile Recovery Court | |
|
301 The City Dr S 2nd Floor Orange CA 92868-3205 | |
| (714) 935-6363 | |
| Not Available |
| Full Name | Cys Juvenile Recovery Court |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 301 The City Dr S, Orange, California |
| Authorized Official Name and Position | Chi Y Rajalingam (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 7148343154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cys Juvenile Recovery Court 405 W 5th St Ste 212 Santa Ana CA 92701-4522 Ph: (714) 568-5614 | Cys Juvenile Recovery Court 301 The City Dr S 2nd Floor Orange CA 92868-3205 Ph: (714) 935-6363 |
| NPI Number | 1437296837 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 12/20/2019 |
| Certification Date | 12/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437296837 | NPI | - | NPPES |
| 30BP | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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