San Fernando Mission Group Home
NPI #1295282739 in Granada Hills, California
Provider Information
- NPI Number
- 1295282739
- Entity Type
- Organization
- Organization Name
- San Fernando Mission Group Home
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CHILDREN'S HOMES OF SOUTHERN CALIFORNIA
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Sep 1, 2016
- Last Updated
- Sep 1, 2016
Practice Location
- Address
- 17157 SAN FERNANDO MISSION BLVD.
- City
- Granada Hills
- State
- California
- ZIP Code
- 91344
- Phone
- (818) 488-9046
Authorized Official
- Name
- MR. JORGE C MARQUEZ
- Title
- EXECUTIVE DIRECTOR
- Phone
- (818) 592-2960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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