Organization
VILLAGES OF CALIFORNIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY BROSCH LMFT (CHIEF OPERATING OFFICER)
(949) 257-9128
Entity
Organization
Contact information
Practice address
805 W LA VETA AVE STE 205, ORANGE, CA 92868-3929
(657) 339-2799
Mailing address
805 W LA VETA AVE STE 205, ORANGE, CA 92868-3929
(657) 339-2799
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
11/13/2024
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