Organization
CRITTENTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LYNN RODRIGUEZ (THERAPEUTIC BEHAVIORAL SPECIALIST)
(714) 680-9000
Entity
Organization
Contact information
Practice address
801 E CHAPMAN AVE, FULLERTON, CA 92831-3839
(714) 680-9000
Mailing address
605 S ROSEWOOD AVE, FULLERTON, CA 92833
(714) 732-7604
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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