NPI:
1548383243
Provider Name:
COUNTY OF ORANGE
Doing Business As: BHS-SUD-ANAHEIM
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 05D2288716
Address:
2035 E BALL RD
SUITE 100A AND 100P
ANAHEIM, CA
ZIP 92806
Phone:
(714) 517-6140
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COUNTY OF ORANGE is a rehabilitation and substance use disorder clinic center in Anaheim, CA. COUNTY OF ORANGE NPI is 1548383243. The provider is registered as an organization entity type.
The provider Is Doing Business As Bhs-sud-anaheim.
The provider's business location address is:
2035 E BALL RD
SUITE 100A AND 100P
ANAHEIM, CA
ZIP 92806-599
Phone: (714) 517-6140
Fax: (714) 517-6169
The provider's authorized official is Chi Y Rajalingam .
The authorized official title is Chief Compliance Officer and has the following contact phone number (714) 834-3154.
The CLIA number assigned to this NPI record is 05D2288716 - community clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/9/2007 and was last updated on 12/20/2019.