Csp

NPI 1053441113 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1053441113
Enumeration Date 03/07/2007
Last Updated 10/14/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JENNIFER MARIN JENNIFER
Position COUNSELOR II
Phone (949) 285-6477
Fax
Practice Location
980 CATALINA
LAGUNA BEACH CA, 92651-2748, US
Phone (949) 285-6477
Fax
Business Location
65 FLEURANCE ST
LAGUNA NIGUEL CA, 92677-9021, US
Phone (949) 285-6477
Fax
Toxanomy
Taxonomy Code 322D00000X
License State California
License Number 48267
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According to our database, Csp NPI is 1053441113, taxonomy code is 322D00000X and license number is 48267, license state is located at California. Csp physically located at 980 Catalina, Laguna Beach CA, 92651-2748. NPI Number 1033115704 has the healthcare provider type.

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1053441113 NPI number is provided on an as is basis without warranty of any kind. 1053441113 is maintained by the National Plan & Provider Enumeration System. The contents of Csp are for informational purposes only.