Fair Oaks Manor III
NPI #1881058519 in Highland Park, California
Provider Information
- NPI Number
- 1881058519
- Entity Type
- Organization
- Organization Name
- Fair Oaks Manor III
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Apr 8, 2016
- Last Updated
- Apr 25, 2016
Practice Location
- Address
- 5035 ECHO ST
- City
- Highland Park
- State
- California
- ZIP Code
- 90042-3915
- Phone
- (323) 255-0797
Authorized Official
- Name
- MAY CABRERA
- Title
- BUSINESS MANAGER
- Phone
- (626) 264-7822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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