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Organization
VISTA DEL MAR CHILD AND FAMILY SERVICES
Active
Organization
VISTA DEL MAR CHILD AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL CARRINGTON (DIRECTOR QUALITY, STANDARDS AND COM)
(310) 836-1223
Entity
Organization
Contact information
Practice address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 836-1223
(310) 204-1405
Mailing address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 836-1223
(310) 204-1405
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
191600721
CA
Other
Enumeration date
03/09/2007
Last updated
01/06/2025
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