# MIND OC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215685292
- **Authorized official:** VICTOR STANLEY JORDAN (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (508) 340-6228

## Contact information

- **Practice address:** 18650 MACARTHUR BLVD STE 350, IRVINE, CA 92612-1205
- **Practice address phone:** (949) 400-4157
- **Mailing address:** 18650 MACARTHUR BLVD STE 350, IRVINE, CA 92612-1205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/17/2022
- **Last updated:** 06/18/2024