RUNNYMEDE GROUP HOME NPI 1346791100

NPI Information

RUNNYMEDE GROUP HOME is a residential treatment facility emotionally disturbed children in Van Nuys, 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. RUNNYMEDE GROUP HOME NPI is 1346791100. The provider is registered as an organization entity type.

The provider's business location address is:

15352 RUNNYMEDE
VAN NUYS, CA
ZIP 91405
Phone: (818) 988-9042
Fax: (818) 988-9042

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 enumeration date for this NPI number is 10/17/2016 and was last updated on 10/17/2016.

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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