95western Youth Services
Case Management in Fountain Valley, CA. Organization (NPI-2).
NPI number1982809117
StatusActive
Last updated in NPPESJun 13, 2008
Details
- NPI
- 1982809117
- Entity type
- Organization (NPI-2)
- Legal business name
- 95western Youth Services
- Organization subpart
- No
- Enumeration date
- Jun 18, 2007
- Last updated
- Jun 13, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Practice location
10101 Slater Ave Ste 241Fountain Valley, CA 92708-4723
Phone 714-378-2620 · Fax 714-378-2631
Mailing address
10101 Slater Ave Ste 241Fountain Valley, CA 92708-4723
Phone 714-378-2620 · Fax 714-378-2631
Authorized official
Maggie Ross
Therapist
7143782620
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