| The Children's Center Of The Antelope Valley | |
|
45111 Fern Ave Lancaster CA 93534-2301 | |
| (661) 949-1206 | |
| (661) 940-5452 |
| Full Name | The Children's Center Of The Antelope Valley |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 45111 Fern Ave, Lancaster, California |
| Authorized Official Name and Position | Donna Gaddis (FINACIAL AUDITOR) |
| Authorized Official Contact | 6619491206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Children's Center Of The Antelope Valley 45111 Fern Ave Lancaster CA 93534-2301 Ph: (661) 949-1206 | The Children's Center Of The Antelope Valley 45111 Fern Ave Lancaster CA 93534-2301 Ph: (661) 949-1206 |
| NPI Number | 1578822102 |
|---|---|
| Provider Enumeration Date | 05/16/2012 |
| Last Update Date | 05/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578822102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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