Organization
INTERFACE CHILDREN FAMILY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM PATTERSON (LICENSED CLINICAL SERVICES MANAGER)
(805) 485-6114
Entity
Organization
Contact information
Practice address
4001 MISSION OAKS BLVD., SUITE I, CAMARILLO, CA 93012-5121
(805) 485-6114
Mailing address
4001 MISSION OAKS BLVD., SUITE I, CAMARILLO, CA 93012-5121
(805) 485-6114
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/24/2007
Last updated
05/09/2013
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