Organization
PROTOTYPES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE SUSAN BOUZID (CHILD CARE SPECIALIST)
(909) 606-6166
Entity
Organization
Contact information
Practice address
3755 VALLE VISTA DR, CHINO HILLS, CA 91709-2943
(909) 606-6166
Mailing address
3755 VALLE VISTA DR, CHINO HILLS, CA 91709-2943
(909) 606-6166
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
06/26/2007
Last updated
07/21/2022
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