Organization
BIENVENIDOS CHILDREN'S CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CUSACK (CHIEF FINANCIAL OFFICER)
(626) 798-7222
Entity
Organization
Contact information
Practice address
9828 CENTRAL AVE, MONTCLAIR, CA 91763-2817
(909) 447-7520
Mailing address
205 E PALM ST, ALTADENA, CA 91001-4825
(626) 798-7222
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7575B
—
CA
Enumeration date
03/09/2007
Last updated
08/22/2020
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