Organization
CORRECTIONAL MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSANGELA QUIROZ LPT (MENTAL HEALTH SPECIALIST)
(714) 935-6091
Entity
Organization
Contact information
Practice address
501 THE CITY DR S, ORANGE, CA 92868-3305
(714) 935-6091
(714) 935-6196
Mailing address
501 THE CITY DR S, ORANGE, CA 92868-3305
(714) 935-6091
(714) 935-6196
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
PT31862
CA
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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