Healthcare Provider Details

I. General information

NPI: 1548895683
Provider Name (Legal Business Name): THE CENTER FOR RESTORED & CONNECTED FAMILIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2020
Last Update Date: 05/19/2022
Certification Date: 05/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 W ORANGEWOOD AVE STE 109&111
ORANGE CA
92868-2043
US

IV. Provider business mailing address

1820 W ORANGEWOOD AVE STE 111
ORANGE CA
92868-2078
US

V. Phone/Fax

Practice location:
  • Phone: 714-602-7940
  • Fax: 714-602-7950
Mailing address:
  • Phone: 714-602-7940
  • Fax: 714-602-7950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. TONI DURNAL DUNNING
Title or Position: PRESIDENT
Credential: DMFT, LMFT
Phone: 714-833-2054