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Organization
FLORENCE CRITTENTON SERVICES OF ORANGE COUNTY, INC
Active
Organization
FLORENCE CRITTENTON SERVICES OF ORANGE COUNTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANFRED FRITZ CZYPULL MIM (CFO)
(714) 680-8268
Entity
Organization
Contact information
Practice address
116 E BROOKDALE, FULLERTON, CA 92832
(714) 680-8265
(714) 680-8207
Mailing address
801 E CHAPMAN AVE, SUITE 203, FULLERTON, CA 92831-3839
(714) 680-8268
(714) 680-8207
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RU 7554
MEDICAL SITE CERTIFICATION
CA
Enumeration date
03/09/2007
Last updated
05/16/2014
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