Organization
VISTA DEL MAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN M FLORES B.A. (FAMILY FACILITATOR)
(310) 836-1223
Entity
Organization
Contact information
Practice address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 836-1223
(310) 837-6647
Mailing address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 836-1223
(310) 837-6647
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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