Organization
BETHANY CHRISTIAN SERVICES OF SOUTHERN CALIFORNIA
Active
Organization
BETHANY CHRISTIAN SERVICES OF SOUTHERN CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY PAUL CARLSON MFT (DIRECTOR)
(714) 994-0500
Entity
Organization
Contact information
Practice address
16700 VALLEY VIEW AVE, SUITE # 210, LA MIRADA, CA 90638-5830
(714) 994-0500
(714) 994-0515
Mailing address
16700 VALLEY VIEW AVE, SUITE # 210, LA MIRADA, CA 90638-5830
(714) 994-0500
(714) 994-0515
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
197804198
CA
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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