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Organization

HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICES

Active
Other names
Sycamores-STRTP North, Sycamores
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEBBIE MANNERS LCSW (PRESIDENT, CEO)
(626) 395-7100
Entity
Organization

Contact information

Practice address
2933 EL NIDO DR, ALTADENA, CA 91001-4529
(626) 243-9043
(626) 395-7270
Mailing address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100
(626) 395-7270

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
163WP0808X
Psychiatric/Mental Health Registered Nurse
164X00000X
Licensed Vocational Nurse
167G00000X
Licensed Psychiatric Technician
174400000X
Specialist
2084P0800X
Psychiatry Physician
208D00000X
General Practice Physician
225400000X
Rehabilitation Practitioner
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
374700000X
Technician

Other

Enumeration date
12/29/2016
Last updated
01/29/2024
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