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Organization
HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES
Active
Organization
HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES
Active
Parent organization
HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES
Other names
Sycamores, HSCFS- Vaughn MIT MS
Organization subpart
Yes
Provider details
NPI number
Legal business name
HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES
Authorized official
DEBBIE MANNERS LCSW (PRESIDENT AND CEO)
(626) 395-7100
Entity
Organization
Contact information
Practice address
13233 EUSTACE ST., PACOIMA, CA 91331
(626) 395-7100
(626) 395-7270
Mailing address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100
(626) 395-7270
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TH0004X
Health Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
167G00000X
Licensed Psychiatric Technician
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
05/28/2019
Last updated
03/31/2023
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