Provider Demographics
NPI:1639487366
Name:SUTTON FOUNDATION INC,
Entity Type:Organization
Organization Name:SUTTON FOUNDATION INC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DORTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-978-0365
Mailing Address - Street 1:1733 S DOUGLASS RD
Mailing Address - Street 2:UNIT-K
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806-6034
Mailing Address - Country:US
Mailing Address - Phone:714-978-0365
Mailing Address - Fax:714-978-0381
Practice Address - Street 1:21 RED ROCK
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-3061
Practice Address - Country:US
Practice Address - Phone:714-978-0365
Practice Address - Fax:714-978-0381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities