Organization
MARY'S SHELTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI CAYLEY STRICKLAND LCSW (LEAD SOCIAL WORKER)
(714) 730-0930
Entity
Organization
Contact information
Practice address
18221 E 17TH ST, SANTA ANA, CA 92705-2676
(714) 730-0930
Mailing address
18221 E 17TH ST, SANTA ANA, CA 92705-2676
(714) 730-0930
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
306000793
CA
Other
Enumeration date
03/27/2017
Last updated
10/06/2020
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