# DAYLE MCINTOSH CENTER FOR THE DISABLED

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

## Provider details

- **NPI number:** 1508095415
- **Authorized official:** MS. DOLORES KOLLMER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (714) 621-3300

## Contact information

- **Practice address:** 13272 GARDEN GROVE BLVD, GARDEN GROVE, CA 92843-2205
- **Practice address phone:** (714) 621-3300
- **Practice address fax:** (714) 663-2094
- **Mailing address:** 13272 GARDEN GROVE BLVD, GARDEN GROVE, CA 92843-2205
- **Mailing address phone:** (714) 621-3300
- **Mailing address fax:** (714) 663-2094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251X00000X | Supports Brokerage Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/13/2009
- **Last updated:** 07/13/2009