Healthcare Provider Details

I. General information

NPI: 1881353530
Provider Name (Legal Business Name): BHHC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2021
Last Update Date: 12/09/2021
Certification Date: 12/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 S LINCOLN ST
ORANGE CA
92866-2235
US

IV. Provider business mailing address

191 S ORANGE ST
ORANGE CA
92866-1423
US

V. Phone/Fax

Practice location:
  • Phone: 714-770-1467
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: HEBREW AGUILAR
Title or Position: DIRECTOR, OPERATIONS
Credential:
Phone: 714-770-1467