Organization
COUNTY OF ORANGE
Active
Parent organization
COUNTY OF ORANGE
Other names
BHS-SUD-West
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF ORANGE
Authorized official
DR. CHI Y RAJALINGAM PH.D., CHC (CHIEF COMPLIANCE OFFICER)
(714) 834-3154
Entity
Organization
Contact information
Practice address
14140 BEACH BLVD, SUITE 120, 155, AND 200, WESTMINSTER, CA 92683-4453
(714) 934-4600
(714) 896-7332
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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300042
ADP
CA
05
—
3042
—
CA
Enumeration date
04/10/2007
Last updated
12/20/2019
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