Organization · Type 2 NPI

The Open Table

Mental Health Clinic/Center (Including Community Mental Health Center) · Costa Mesa, CA

NPI number 1396383022 Active

Practice location

151 Kalmus Dr. Bldg C, Suite 100
Costa Mesa, CA 92626

Mailing address

1633 E 4th St Ste 120
Santa Ana, CA 92701-5143

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Voluntary or Charitable Agency 251V00000XNone listed
Community Health Clinic/Center 261QC1500XNone listed
Corporate Health Clinic/Center 261QC1800XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1396383022

The Open Table's National Provider Identifier is 1396383022, issued on Dec 12, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Costa Mesa, CA. The record was last updated on Dec 12, 2019.