Healthcare Provider Details

I. General information

NPI: 1750948758
Provider Name (Legal Business Name): CHILD CARE RESOURCE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2019
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20001 PRAIRIE STREET
CHATSWORTH CA
91311
US

IV. Provider business mailing address

20001 PRAIRIE STREET
CHATSWORTH CA
91311
US

V. Phone/Fax

Practice location:
  • Phone: 818-717-1000
  • Fax: 818-717-9125
Mailing address:
  • Phone: 818-717-1000
  • Fax: 818-717-9125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL OLENICK
Title or Position: PRESIDENT & CEO
Credential:
Phone: 818-717-1000