# AVIVA FAMILY AND CHILDREN SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770915597
- **Authorized official:** IRA KRUSKAL (VICE PRESIDENT)
- **Authorized official phone:** (323) 876-0550

## Contact information

- **Practice address:** 1701 CAMINO PALMERO, LOS ANGELES, CA 90046
- **Practice address phone:** (323) 876-0550
- **Mailing address:** 1701 CAMINO PALMERO ST, LOS ANGELES, CA 90046-2902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 273152 | CA | Yes |

## Other

- **Enumeration date:** 08/02/2013
- **Last updated:** 08/02/2013