| Cys Child Guidance Center, Inc. North | |
|
680 Langsdorf Dr Suite 200 Fullerton CA 92831-3702 | |
| (714) 871-9264 | |
| (714) 871-5032 |
| Full Name | Cys Child Guidance Center, Inc. North |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 680 Langsdorf Dr, Fullerton, 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. North 680 Langsdorf Dr Suite 200 Fullerton CA 92831-3702 Ph: (714) 871-9264 | Cys Child Guidance Center, Inc. North 680 Langsdorf Dr Suite 200 Fullerton CA 92831-3702 Ph: (714) 871-9264 |
| NPI Number | 1003936311 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003936311 | 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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