Organization
GOLD COAST YOUTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARDI HARVEY (C.O.O.)
(714) 524-3799
Entity
Organization
Contact information
Practice address
3230 E. IMPERIAL HWY, STE. 315, BREA, CA 92821
(714) 524-3799
(714) 528-3416
Mailing address
PO BOX 2067, FULLERTON, CA 92837
(714) 524-3799
(714) 528-3416
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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