# COLETTE'S CHILDREN HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Colette's Children's Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053021113
- **Authorized official:** WILLIAM O'CONNELL (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (714) 596-1380

## Contact information

- **Practice address:** 7372 PRINCE DR STE 106, HUNTINGTON BEACH, CA 92647-4574
- **Practice address phone:** (714) 596-1380
- **Mailing address:** 7372 PRINCE DR STE 106, HUNTINGTON BEACH, CA 92647-4574
- **Mailing address phone:** (714) 596-1380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 305S00000X | Point of Service | — | NULL | — |

## Other

- **Enumeration date:** 11/30/2022
- **Last updated:** 11/30/2022