| Cys Waymakers Children's Residential Program Laguna Beach | |
|
980 Catalina Laguna Beach CA 92651 | |
| (949) 494-4311 | |
| (949) 497-4861 |
| Full Name | Cys Waymakers Children's Residential Program Laguna Beach |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 980 Catalina, Laguna Beach, California |
| Authorized Official Name and Position | Ronnetta Johnson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9492500488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cys Waymakers Children's Residential Program Laguna Beach 440 Exchange Ste 250 Irvine CA 92602-1390 Ph: (949) 494-4311 | Cys Waymakers Children's Residential Program Laguna Beach 980 Catalina Laguna Beach CA 92651 Ph: (949) 494-4311 |
| NPI Number | 1184779274 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184779274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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