Organization
CHILD GUIDANCE CENTER, INC.
Active
Other names
CYS Child Guidance Center, Inc. Buena Park
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LORI PACK LCSW (EXECUTIVE DIRECTOR)
(714) 953-4455
Entity
Organization
Contact information
Practice address
6301 BEACH BLVD STE 245&205, BUENA PARK, CA 90621-2840
(714) 736-0231
(714) 736-0895
Mailing address
6301 BEACH BLVD, SUITE 245, BUENA PARK, CA 90621-2840
(714) 736-0231
(714) 736-0895
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
910-1912-5
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
910-1912-5
STATE ID
CA
Enumeration date
03/30/2007
Last updated
06/30/2025
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