| NPI | 1104963347 |
|---|---|
| Doing Business As | HEALTH CARE AGENCY |
| Entity Type | Organization |
| Authorized Contact | KELLY KATHLEEN SABET Chief Compliance Officer 714-581-7769 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QP0905X Clinic/Center Public Health, State or Local | |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 291U00000X Clinical Medical Laboratory | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-11-13 |