Organization
COUNTY OF ORANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAUNCEY BOWIE (MENTAL HEALTH SPECIALIST)
(714) 834-3623
Entity
Organization
Contact information
Practice address
4000 W METROPOLITAN DR STE 405, ORANGE, CA 92868-3504
(714) 834-3623
Mailing address
4000 W METROPOLITAN DR STE 405, ORANGE, CA 92868-3504
(714) 834-3623
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
02/05/2026
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