Organization
CHILDREN COUNTRY & LIVES (CCL)
Active
Other names
CHILDREN COUNTRY & LIVES, Children And The Country Life (CCL)
Organization subpart
No
Provider details
NPI number
Authorized official
ALMA DELIA MORENO (BOARD MEMBER)
(408) 621-5262
Entity
Organization
Contact information
Practice address
2579 BRIDLE PATH DR, GILROY, CA 95020-9185
(408) 621-5262
Mailing address
2579 BRIDLE PATH DR, GILROY, CA 95020-9185
(408) 621-5262
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
174200000X
Meals Provider
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QM1000X
Migrant Health Clinic/Center
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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