Organization
FLORENCE CRITTENTON SERVICES OF ORANGE COUNTY, INC.
Active
Other names
CRITTENTON SERVICES FOR CHILDREN & FAMILIES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANFRED FRITZ CZYPULL MIM (CEO)
(714) 680-8268
Entity
Organization
Contact information
Practice address
801 E CHAPMAN AVE, SUITE 220, FULLERTON, CA 92831-3839
(714) 680-8268
(714) 680-8207
Mailing address
801 E CHAPMAN AVE, SUITE 203, FULLERTON, CA 92831-3839
(714) 680-8268
(714) 680-8207
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
300612972
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00870
MH LEGAL ENTITY
CA
01
—
300600336
DSS FACILITY LICENSE
CA
01
—
300612972
DSS FACILITY LICENSE
CA
01
—
306099612
DSS FACILITY LICENSE
CA
01
—
7518
MEDICAL CERTIFICATION C.
CA
01
—
7523
MEDICAL CERTIFICATION H
CA
01
—
7524
MEDICAL CERTIFICATION VV
CA
01
—
7554
MEDICAL CERTIFICATION B
CA
01
—
7605
MEDICAL CERTIFICATION LB
CA
Enumeration date
09/28/2006
Last updated
05/16/2014
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