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NPI Code Detail

MEDICARE: CHILDNET YOUTH AND FAMILY SERVICES INC

MEDICARE: CHILDNET YOUTH AND FAMILY SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1427185917
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDNET YOUTH AND FAMILY SERVICES INC
Provider Business Mailing Address
First Line : 5150 E PACIFIC COAST HWY STE 365
Second Line : PO BOX 4550
City : LONG BEACH
State : CA
Zip : 90804-3323
Country : US
Telephone Number : 562-498-5500
Fax Number : 562-498-5589
Provider Business Practice Location Address
First Line : 4151 E FOUNTAIN ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-3023
Country : US
Telephone Number : 562-961-6100
Fax Number : 562-961-6363
Authorized Official
Title or Position : CFO VICE PRESIDENT
Name : MR. ALLAN GREENBERG
Credential : CPA
Telephone Number : 562-498-5507
Provider Enumeration Date : 02/28/2007
Last Update Date : 03/12/2025

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Directions to “CHILDNET YOUTH AND FAMILY SERVICES INC ” Practice Location

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