Organization
CANYON ACRES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA MARTIN LMFT (VICE PRESIDENT PROGRAMS)
(714) 383-9343
Entity
Organization
Contact information
Practice address
1845 W ORANGEWOOD AVE, SUITE 300, ORANGE, CA 92868-2051
(714) 383-9400
Mailing address
1845 W ORANGEWOOD AVE, SUITE 300, ORANGE, CA 92868-2051
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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