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Organization
RANCHO SAN ANTONIO BOYS HOME INC.
Active
Organization
RANCHO SAN ANTONIO BOYS HOME INC.
Active
Parent organization
RANCHO SAN ANTONIO BOYS HOME INC.
Other names
RSA Bro Johns House STRTP, Rancho San Antonio
Organization subpart
Yes
Provider details
NPI number
Legal business name
RANCHO SAN ANTONIO BOYS HOME INC.
Authorized official
ZEENAT K. BURSE LMFT (CONTRACTS AND COMPLIANCE DIRECTOR)
(818) 882-6400
Entity
Organization
Contact information
Practice address
21000 PLUMMER ST, CHATSWORTH, CA 91311-4903
(818) 882-6400
(818) 882-6404
Mailing address
21000 PLUMMER ST, CHATSWORTH, CA 91311-4903
(818) 882-6400
(818) 882-6404
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02172
LA COUNTY DEPARTMENT OF MENTAL HEALTH
CA
05
—
19B7
—
CA
05
—
19RI
—
CA
Enumeration date
07/02/2015
Last updated
12/05/2024
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