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Organization

LDS FAMILY SERVICES

Active
Parent organization
LDS FAMILY SERVICES
Other names
LDS Family Services CA Fountain Valley
Organization subpart
Yes

Provider details

NPI number
Legal business name
LDS FAMILY SERVICES
Authorized official
MR. TODD HUNTER HUISKEN MFT (DIRECTOR)
(714) 444-3463
Entity
Organization

Contact information

Practice address
17350 MOUNT HERRMANN ST, SUITE A, FOUNTAIN VALLEY, CA 92708-4114
(714) 444-3463
(714) 444-1768
Mailing address
17350 MOUNT HERRMANN ST, SUITE A, FOUNTAIN VALLEY, CA 92708-4114
(714) 444-3463
(714) 444-1768

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
CA

Other

Enumeration date
10/16/2006
Last updated
06/06/2008
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