Provider First Line Business Practice Location Address: 
CHILD ABUSE SERVICES TEAM
    Provider Second Line Business Practice Location Address: 
1337 BRADEN COURT
    Provider Business Practice Location Address City Name: 
ORANGE
    Provider Business Practice Location Address State Name: 
CA
    Provider Business Practice Location Address Postal Code: 
92863
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
714-435-4649
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
10/24/2006