Organization
INTERFACE CHILDREN AND FAMILY SERVICES
Active
Organization
INTERFACE CHILDREN AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ELIZABETH FLOURNOY LCSW (LICENSED CLINICAL SERVICES MANAGER)
(805) 485-6114
Entity
Organization
Contact information
Practice address
1746 S VICTORIA AVE STE 210, VENTURA, CA 93003-5806
(805) 485-6114
Mailing address
4001 MISSION OAKS BLVD STE I, CAMARILLO, CA 93012-5121
(805) 485-6114
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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