Provider Demographics
NPI:1669817227
Name:ORANGE COUNTY MULTIETHNIC COLLABORATIVE OF COMMUNITY AGENCIES
Entity Type:Organization
Organization Name:ORANGE COUNTY MULTIETHNIC COLLABORATIVE OF COMMUNITY AGENCIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCEE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEEALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:714-202-4750
Mailing Address - Street 1:1505 E 17TH ST
Mailing Address - Street 2:229
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-8520
Mailing Address - Country:US
Mailing Address - Phone:714-202-4750
Mailing Address - Fax:
Practice Address - Street 1:1505 E 17TH ST
Practice Address - Street 2:229
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-8520
Practice Address - Country:US
Practice Address - Phone:714-202-4750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health