Casa Youth Shelter

NPI #1285458125 in Los Alamitos, California

Provider Information

NPI Number: 1285458125
Entity Type: Organization
Organization Name: Casa Youth Shelter
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Nov 7, 2024
Last Updated: Dec 11, 2024

Practice Location

Address: 10911 REAGAN ST
City: Los Alamitos
State: California
ZIP Code: 90720-2434
Phone: (949) 529-8828

Authorized Official

Name: MS. JESSICA ANN HUBBARD, M.S., J.D.
Title: CHIEF EXECUTIVE OFFICER
Phone: (949) 529-8288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Case Management	251B00000X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker	104100000X
Counselor	101Y00000X
Case Manager/Care Coordinator	171M00000X	Primary

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