Organization
OUR SMALL WORLD FOSTER FAMILY AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUAN STAPATYANON PH.D. (PROGRAM DIRECTOR)
(714) 704-4545
Entity
Organization
Contact information
Practice address
295 N RAMPART ST, ORANGE, CA 92868-1853
(714) 704-4545
(714) 704-4544
Mailing address
295 N RAMPART ST, ORANGE, CA 92868-1853
(714) 704-4545
(714) 704-4544
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
306003982
CA
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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