Organization
CASA YOUTH SHELTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA ANN HUBBARD M.S., J.D. (CHIEF EXECUTIVE OFFICER)
(949) 529-8288
Entity
Organization
Contact information
Practice address
10911 REAGAN ST, LOS ALAMITOS, CA 90720-2434
(949) 529-8828
Mailing address
10911 REAGAN ST, LOS ALAMITOS, CA 90720-2434
(949) 529-8828
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/07/2024
Last updated
12/11/2024
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