Organization
VISTA DEL MAR CHILD AND FAMILY SVC.
Active
Other names
Vista Del Mar Ch & Fam STRTP
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL CARRINGTON (DIRECTOR QUALITY, STANDARDS AND COM)
(310) 836-1223
Entity
Organization
Contact information
Practice address
3321 EDITH ST, LOS ANGELES, CA 90064-4736
(310) 836-1223
(310) 204-1405
Mailing address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 836-1223
(310) 204-1405
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/06/2017
Last updated
03/01/2022
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