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Organization
CHASTELLA INC
Active
Organization
CHASTELLA INC
Active
Other names
STELLA MARIS GROWTH CENTER II, Stella Maris Growth Center for Girls
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES OHAERI LCSW (QA CLINICAL MANAGER)
(909) 649-6111
Entity
Organization
Contact information
Practice address
13530 SYLMAR DR, MORENO VALLEY, CA 92553-3421
(951) 653-6958
Mailing address
PO BOX 1170, MORENO VALLEY, CA 92556-1170
(909) 370-2858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
10/06/2022
Last updated
01/21/2026
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