Csp Crisis Residential Program

NPI 1063567378 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1063567378
Enumeration Date 01/24/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CAROL CAROL
Position DIRECTOR
Phone (949) 494-4311
Fax
Practice Location
980 CATALINA
LAGUNA BEACH CA, 92651-2748, US
Phone (949) 494-4311
Fax
Business Location
980 CATALINA
LAGUNA BEACH CA, 92651-2748, US
Phone (949) 494-4311
Fax
Toxanomy
Taxonomy Code 322D00000X
License State California
License Number MFT35212
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According to our database, Csp Crisis Residential Program NPI is 1063567378, taxonomy code is 322D00000X and license number is MFT35212, license state is located at California. Csp Crisis Residential Program physically located at 980 Catalina, Laguna Beach CA, 92651-2748. NPI Number 1033115704 has the healthcare provider type.

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1063567378 NPI number is provided on an as is basis without warranty of any kind. 1063567378 is maintained by the National Plan & Provider Enumeration System. The contents of Csp Crisis Residential Program are for informational purposes only.