Organization Name: | HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICES |
NPI Number: | 1518163294 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBBIE MANNERS (EXECUTIVE VP PROGRAMS) |
Mailing Address: | 11500 Eldridge Ave Ste 204 Lake View Terrace |
State: | CA US |
Postal Code: | 913426523 |
Phone Number: | 6263957100 |
Fax Number: | |
NPI Enumeration Date: | 06/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |