Provider Demographics
NPI:1982957114
Name:MENTAL HEALTH ASSOCIATION OF ORANGE COUNTY
Entity Type:Organization
Organization Name:MENTAL HEALTH ASSOCIATION OF ORANGE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REHAB SPECIALIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-360-8382
Mailing Address - Street 1:12755 BROOKHURST ST STE 116
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-4855
Mailing Address - Country:US
Mailing Address - Phone:714-638-8277
Mailing Address - Fax:
Practice Address - Street 1:12755 BROOKHURST ST STE 116
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-4855
Practice Address - Country:US
Practice Address - Phone:714-638-8277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty