Organization
ETTIE LEE YOUTH AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEANE CATHERINE SHILLING M.S., IMF (THERAPEUTIC SOCIAL WORKER)
(818) 915-5497
Entity
Organization
Contact information
Practice address
12345 CHANDLER BLVD, NORTH HOLLYWOOD, CA 91607-2079
(818) 760-0665
(818) 760-0157
Mailing address
10621 VALLEY SPRING LN, #305, TOLUCA LAKE, CA 91602-3200
(818) 760-9548
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
#50219
CA
Other
Enumeration date
03/19/2007
Last updated
06/25/2008
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