# MARY'S SHELTER

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

## Provider details

- **NPI number:** 1821529199
- **Authorized official:** KELLI CAYLEY STRICKLAND LCSW (LEAD SOCIAL WORKER)
- **Authorized official phone:** (714) 730-0930

## Contact information

- **Practice address:** 18221 E 17TH ST, SANTA ANA, CA 92705-2676
- **Practice address phone:** (714) 730-0930
- **Mailing address:** 18221 E 17TH ST, SANTA ANA, CA 92705-2676
- **Mailing address phone:** (714) 730-0930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 306000793 | CA | Yes |

## Other

- **Enumeration date:** 03/27/2017
- **Last updated:** 10/06/2020