Organization
SHOURIDGE GROUP HOME
Active
Parent organization
CHILDREN'S HOMES OF SOUTHERN CALIFORNIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HOMES OF SOUTHERN CALIFORNIA
Authorized official
MR. JORGE C MARQUEZ (EXECUTIVE DIRECTOR)
(818) 592-2960
Entity
Organization
Contact information
Practice address
6705 SHOUP AVENUE, WEST HILLS, CA 91307
(747) 230-5928
(747) 230-5928
Mailing address
22455 VICTORY BLVD, WEST HILLS, CA 91307
(818) 592-2960
(818) 592-2961
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
198209146
CA
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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