| Cys Child Guidance Center, Inc., East | |
|
600 W Santa Ana Blvd Ste 600 Santa Ana CA 92701-4552 | |
| (714) 953-4455 | |
| (714) 547-8855 |
| Full Name | Cys Child Guidance Center, Inc., East |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 600 W Santa Ana Blvd Ste 600, Santa Ana, California |
| Authorized Official Name and Position | Lori Pack (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7149534455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cys Child Guidance Center, Inc., East 600 W Santa Ana Blvd Ste 205 Santa Ana CA 92701-4542 Ph: (714) 953-4455 | Cys Child Guidance Center, Inc., East 600 W Santa Ana Blvd Ste 600 Santa Ana CA 92701-4552 Ph: (714) 953-4455 |
| NPI Number | 1033238944 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 08/21/2024 |
| Certification Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033238944 | NPI | - | NPPES |
| 910-1912-5 | Other | CA | STATE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 910-1912-5 (California) | Primary |
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