Organization
BETHANY CHRISTIAN SERVICES OF SOUNTHERN CA
Active
Organization
BETHANY CHRISTIAN SERVICES OF SOUNTHERN CA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY PAUL CARLSON MFT (REGIONAL DIRECTOR)
(714) 994-0500
Entity
Organization
Contact information
Practice address
4001 MISSION OAKS BLVD, SUITE T & K, CAMARILLO, CA 93012-5121
(805) 482-2423
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
11/09/2016
Last updated
11/09/2016
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