Organization
FLORENCE CRITTENTON SERVICES OF ORANGE COUNTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANFRED FRITZ CZYPULL MIM (CFO)
(714) 680-8268
Entity
Organization
Contact information
Practice address
116 E BROOKDALE, FULLERTON, CA 92832
(714) 680-8265
(714) 680-8207
Mailing address
801 E CHAPMAN AVE, SUITE 203, FULLERTON, CA 92831-3839
(714) 680-8268
(714) 680-8207
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RU 7554
MEDICAL SITE CERTIFICATION
CA
Enumeration date
03/09/2007
Last updated
05/16/2014
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