# ETTIE LEE YOUTH AND FAMILY SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104941442
- **Authorized official:** MS. LEANE CATHERINE SHILLING M.S., IMF (THERAPEUTIC SOCIAL WORKER)
- **Authorized official phone:** (818) 915-5497

## Contact information

- **Practice address:** 12345 CHANDLER BLVD, NORTH HOLLYWOOD, CA 91607-2079
- **Practice address phone:** (818) 760-0665
- **Practice address fax:** (818) 760-0157
- **Mailing address:** 10621 VALLEY SPRING LN, \#305, TOLUCA LAKE, CA 91602-3200
- **Mailing address phone:** (818) 760-9548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | \#50219 | CA | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 06/25/2008