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Organization
ETTIE LEE YOUTH AND FAMILY SERVICES
Active
Organization
ETTIE LEE YOUTH AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEANE CATHERINE SHILLING M.S., IMF (THERAPEUTIC SOCIAL WORKER)
(818) 915-5497
Entity
Organization
Contact information
Practice address
12345 CHANDLER BLVD, NORTH HOLLYWOOD, CA 91607-2079
(818) 760-0665
(818) 760-0157
Mailing address
10621 VALLEY SPRING LN, #305, TOLUCA LAKE, CA 91602-3200
(818) 760-9548
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
#50219
CA
Other
Enumeration date
03/19/2007
Last updated
06/25/2008
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