County of Orange

NPI #1962549774 in Brea, California

Provider Information

NPI Number
1962549774
Entity Type
Organization
Organization Name
County of Orange
Subpart
Yes (part of a larger organization)
Parent Organization
COUNTY OF ORANGE
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
Jan 31, 2007
Last Updated
Dec 20, 2019

Practice Location

Address
120 S STATE COLLEGE BLVD STE 150
City
Brea
ZIP Code
92821-5807
Phone
(714) 577-5400

Authorized Official

Name
DR. CHI Y RAJALINGAM, PH.D., CHC
Title
CHIEF COMPLIANCE OFFICER
Phone
(714) 834-3154

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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