Healthcare Provider Details
I. General information
NPI: 1659695716
Provider Name (Legal Business Name): COUNTY OF ORANGE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/18/2010
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
303 W LINCOLN AVE SUITE 130
ANAHEIM CA
92805-2993
US
IV. Provider business mailing address
405 W 5TH ST STE 212
SANTA ANA CA
92701-4522
US
V. Phone/Fax
- Phone: 714-520-7300
- Fax:
- Phone: 714-568-5614
- Fax: 714-834-6595
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
KELLY
KATHLEEN
SABET
Title or Position: CHIEF COMPLIANCE OFFICER
Credential: LCSW,CHC,CHPC,CHRC
Phone: 714-581-7769