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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 & FAMILY SERVICES
Other names
Sycamores, HSCFS- Vaughn VISA
Organization subpart
Yes
Provider details
NPI number
Legal business name
HATHAWAY-SYCAMORES CHILD & FAMILY SERVICES
Authorized official
DEBBIE MANNERS LCSW (CEO AND PRESIDENT)
(626) 395-7100
Entity
Organization
Contact information
Practice address
11505 HERRICK AVE, PACOIMA, CA 91331-1807
(626) 395-7100
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
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
164X00000X
Licensed Vocational Nurse
—
—
172V00000X
Community Health Worker
—
—
174400000X
Specialist
—
—
175T00000X
Peer Specialist
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
225400000X
Rehabilitation Practitioner
—
—
374700000X
Technician
—
—
Other
Enumeration date
02/11/2020
Last updated
03/31/2023
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