Organization
MID VALLEY YOUTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIKI ECONOMOU MFTI (PSYCHOTHERAPIST)
(818) 904-0707
Entity
Organization
Contact information
Practice address
15446 SHERMAN WAY, 330, VAN NUYS, CA 91406-4259
(818) 988-6544
Mailing address
15446 SHERMAN WAY, 330, VAN NUYS, CA 91406-4259
(818) 988-6544
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
37870
CA
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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