Organization · Type 2 NPI
Ettie Lee Youth and Family Services
Emotionally Disturbed Childrens' Residential Treatment Facility · North Hollywood, CA
Practice location
12345 Chandler Blvd
North Hollywood, CA 91607-2079
Fax (818) 760-0157
Mailing address
10621 Valley Spring Ln, #305
Toluca Lake, CA 91602-3200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | #50219 (CA) |
Emotionally Disturbed Childrens' Residential Treatment Facility: 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.
About NPI 1104941442
Ettie Lee Youth and Family Services's National Provider Identifier is 1104941442, issued on Mar 19, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in North Hollywood, CA. The record was last updated on Jun 25, 2008.