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Organization
STANDUP FOR KIDS
Active
Organization
STANDUP FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLIA OLDFATHER (DIR. OF BUSINESS & PROGRAM OPS.)
(260) 232-2769
Entity
Organization
Contact information
Practice address
1055 EL CAMINO DR STE E, COSTA MESA, CA 92626-5545
(714) 356-5437
Mailing address
PO BOX 14398, IRVINE, CA 92623-4398
(714) 356-5437
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
305S00000X
Point of Service
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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