# 95WESTERN YOUTH SERVICES

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

## Provider details

- **NPI number:** 1982809117
- **Authorized official:** MAGGIE ROSS MSW (THERAPIST)
- **Authorized official phone:** (714) 378-2620

## Contact information

- **Practice address:** 10101 SLATER AVE STE 241, FOUNTAIN VALLEY, CA 92708-4723
- **Practice address phone:** (714) 378-2620
- **Practice address fax:** (714) 378-2631
- **Mailing address:** 10101 SLATER AVE STE 241, FOUNTAIN VALLEY, CA 92708-4723
- **Mailing address phone:** (714) 378-2620
- **Mailing address fax:** (714) 378-2631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/18/2007
- **Last updated:** 06/13/2008
