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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