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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) 680-8257
Entity
Organization

Contact information

Practice address
600 N HARBOR, FULLERTON, CA 92832
(714) 680-8265
Mailing address
801 E CHAPMAN AVE, SUITE 203, FULLERTON, CA 92831-3839
(714) 680-8265
(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 7523
MEDICAL SITE CERTIFICATION
CA
Enumeration date
03/09/2007
Last updated
02/04/2014
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