# CANYON ACRES CHILDREN AND FAMILY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Canyon Acres Wraparound
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184766230
- **Authorized official:** FELICIA MARTIN (VICE PRESIDENT PROGRAMS)
- **Authorized official phone:** (714) 383-9343

## Contact information

- **Practice address:** 1845 W ORANGEWOOD AVE, SUITE 302, ORANGE, CA 92868-2051
- **Practice address phone:** (714) 383-9400
- **Practice address fax:** (714) 383-9243
- **Mailing address:** 1845 W ORANGEWOOD AVE, SUITE 302, ORANGE, CA 92868-2051
- **Mailing address phone:** (714) 383-9400
- **Mailing address fax:** (714) 383-9243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 09/24/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 30B2 | MEDI-CAL BILLING PROVIDER | CA |