| Cys Western Youth Services-west | |
|
18350 Mount Langley St Ste 206, 215, 220, 200 Fountain Valley CA 92708-6900 | |
| (714) 378-2620 | |
| (714) 378-2631 |
| Full Name | Cys Western Youth Services-west |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 18350 Mount Langley St Ste 206, 215, 220, 200, Fountain Valley, California |
| Authorized Official Name and Position | Lorrayne Leigh Belhumeur (CEO) |
| Authorized Official Contact | 9498551556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cys Western Youth Services-west 18350 Mount Langley St Ste 206, 215, 220, 200 Fountain Valley CA 92708-6900 Ph: (714) 378-2620 | Cys Western Youth Services-west 18350 Mount Langley St Ste 206, 215, 220, 200 Fountain Valley CA 92708-6900 Ph: (714) 378-2620 |
| NPI Number | 1023142379 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023142379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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