Organization
CHILD GUIDANCE CENTER, INC.
Active
Organization
CHILD GUIDANCE CENTER, INC.
Active
Parent organization
CHILD GUIDANCE CENTER, INC.
Other names
CYS Child Guidance Center, Inc., South
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILD GUIDANCE CENTER, INC.
Authorized official
ELAINE OROURKE (OPERATIONS MANAGER)
(714) 953-4455
Entity
Organization
Contact information
Practice address
3551 CAMINO MIRA COSTA, SUITE T, SAN CLEMENTE, CA 92672
(949) 272-4444
(949) 272-4445
Mailing address
525 CABRILLO PARK DR STE 300, SANTA ANA, CA 92701-5017
(714) 953-4455
(714) 547-8855
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
06/27/2018
Last updated
02/23/2023
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