The Open Table
The Open Table is a Community/Behavioral Health Agency in Costa Mesa, California. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 7
Practice location Address checks out
151 Kalmus Dr Bldg C Ste 100Costa Mesa, CA 92626
Phone: (949) 274-9627
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Voluntary or Charitable Agency | Taxonomy 251V00000X |
| Community Health Clinic/Center | Taxonomy 261QC1500X |
| Corporate Health Clinic/Center | Taxonomy 261QC1800X |
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X |
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X |
Record details
| NPI number | 1396383022 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Matthew Heim — Director · (949) 274-9627 |
| NPI enumerated | December 12, 2019 |
| Last updated in NPPES | December 12, 2019 |
| Certification date | December 12, 2019 |
| Mailing address | 1633 E 4th St Ste 120, Santa Ana, CA 92701-5143 |
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