SAN FERNANDO MISSION GROUP HOME is a residential treatment facility emotionally disturbed children in Granada Hills, 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. SAN FERNANDO MISSION GROUP HOME NPI is 1295282739. The provider is registered as an organization entity type.
The provider's business location address is:
17157 SAN FERNANDO MISSION BLVD.
GRANADA HILLS, CA
ZIP 91344
Phone: (818) 488-9046
Fax: (818) 488-9046
The provider's authorized official is Jorge C Marquez .
The authorized official title is Executive Director and has the following contact phone number (818) 592-2960.
The CLIA number assigned to this NPI record is 05D1072343 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 9/1/2016 and was last updated on 9/1/2016.