| Cys South Coast Children's Society | |
|
18837 Brookhurst St Ste 110&104 Fountain Valley CA 92708-7301 | |
| (714) 536-0077 | |
| (714) 536-0071 |
| Full Name | Cys South Coast Children's Society |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 18837 Brookhurst St Ste 110&104, Fountain Valley, California |
| Authorized Official Name and Position | Ellen Mcguirk (C.E.O.) |
| Authorized Official Contact | 9492445757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cys South Coast Children's Society 25910 Acero Ste 160 Mission Viejo CA 92691-2777 Ph: (909) 980-6700 | Cys South Coast Children's Society 18837 Brookhurst St Ste 110&104 Fountain Valley CA 92708-7301 Ph: (714) 536-0077 |
| NPI Number | 1487780219 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 08/01/2022 |
| Certification Date | 08/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487780219 | NPI | - | NPPES |
| 30CD | Other | CA | MENTAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1707237 (California) | Primary |
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