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Organization
CRITTENTON SERVICES FOR CHILDREN AND FAMILIES
Active
Organization
CRITTENTON SERVICES FOR CHILDREN AND FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY EDWARD MIRANDA (CHILD AND FAMILY SPECIALIST)
(714) 269-5353
Entity
Organization
Contact information
Practice address
801 E CHAPMAN AVE, FULLERTON, CA 92831-3839
(714) 269-5353
Mailing address
6911 BRENNER AVE, BUENA PARK, CA 90621-3416
(714) 269-5353
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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