Healthcare Provider Details

I. General information

NPI: 1932473022
Provider Name (Legal Business Name): WAYFINDER FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2012
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 ANGELES VISTA BLVD
LOS ANGELES CA
90043-1648
US

IV. Provider business mailing address

5300 ANGELES VISTA BLVD
LOS ANGELES CA
90043-1648
US

V. Phone/Fax

Practice location:
  • Phone: 323-295-4555
  • Fax: 323-508-0150
Mailing address:
  • Phone: 323-295-4555
  • Fax: 323-508-0150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. MIKI JORDAN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 323-295-4555