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Organization
COUNTY OF ORANGE
Active
Organization
COUNTY OF ORANGE
Active
Parent organization
COUNTY OF ORANGE
Other names
CYS Youth Reporting Center Central
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF ORANGE
Authorized official
MRS. KELLY KATHLEEN SABET LCSW, CHC,CHPC,CHRC (CHIEF COMPLIANCE OFFICER)
(714) 581-7769
Entity
Organization
Contact information
Practice address
1700 E SAINT ANDREW PL, SANTA ANA, CA 92705-4933
(714) 667-7770
Mailing address
405 W 5TH ST STE 212, SANTA ANA, CA 92701-4522
(714) 568-5614
(714) 834-6595
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30DY
—
CA
Enumeration date
03/27/2007
Last updated
12/23/2024
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