ETTIE LEE YOUTH AND FAMILY SERVICES NPI 1104941442

NPI Information

ETTIE LEE YOUTH AND FAMILY SERVICES is a residential treatment facility emotionally disturbed children in North Hollywood, CA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. ETTIE LEE YOUTH AND FAMILY SERVICES NPI is 1104941442. The provider is registered as an organization entity type.

The provider's business location address is:

12345 CHANDLER BLVD
NORTH HOLLYWOOD, CA
ZIP 91607-079
Phone: (818) 760-0665
Fax: (818) 760-0157

The provider's authorized official is Leane Catherine Shilling .
The authorized official title is Therapeutic Social Worker and has the following contact phone number (818) 915-5497.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 6/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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