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The Open Table
Adolescent and Children Mental Health Clinic/Center in Costa Mesa, California
NPI 1396383022

The Open Table is an Adolescent and Children Mental Health Clinic/Center based in Santa Ana, CA and is specialized in Adolescent and Children Mental Health. The Open Table practices in Costa Mesa, CA. The NPI Number for The Open Table is 1396383022 and holds a License No. (California).

The current practice location address for The Open Table is 151 Kalmus Dr. Bldg C, Costa Mesa, CA and can be reached out via phone at 949-274-9627.

Location: 151 Kalmus Dr. Bldg C, Costa Mesa, CA, 92701-5143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396383022
Provider Name
The Open Table
Credential
Provider Entity Type
Organization
Address
151 Kalmus Dr. Bldg C, Costa Mesa, CA, 92701-5143
Phone Number
949-274-9627
Fax Number
Provider Enumeration Date
12/12/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
151 Kalmus Dr. Bldg C
City
Costa Mesa
State
California
Zip
92626
Phone Number
949-274-9627
Fax Number
person
Provider Business Mailing Address Details
Address
151 Kalmus Dr. Bldg C
City
Costa Mesa
State
California
Zip
92626
Phone Number
949-274-9627
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
251V00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Corporate Health
Taxonomy
261QC1800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 7
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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