Organization
COUNTY OF ORANGE
Active
Parent organization
COUNTY OF ORANGE
Other names
AMHS Mission Viejo
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
23228 MADERO, MISSION VIEJO, CA 92691-2706
(949) 454-3940
(949) 770-1953
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)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8082
—
CA
Enumeration date
01/30/2007
Last updated
12/20/2019
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