Organization
BAYFRONT YOUTH AND FAMILY SERVICES - RESIDENTIAL TREATMENT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEL HERST LMFT (HEAD OF SERVICES)
(562) 719-9250
Entity
Organization
Contact information
Practice address
4151 FOUNTAIN STREET, LONG BEACH, CA 90804-3023
(562) 719-9250
Mailing address
324 E BIXBY RD, LONG BEACH, CA 90807-3432
(562) 595-8111
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
04/03/2012
Last updated
12/16/2014
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