Organization · Type 2 NPI

San Fernando Mission Group Home

Emotionally Disturbed Childrens' Residential Treatment Facility · Granada Hills, CA

NPI number 1295282739 Active

Practice location

17157 San Fernando Mission Blvd.
Granada Hills, CA 91344

Fax (818) 488-9046

Mailing address

22455 Victory Blvd
West Hills, CA 91307

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X198208017 (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.

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About NPI 1295282739

San Fernando Mission Group Home's National Provider Identifier is 1295282739, issued on Sep 1, 2016. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Granada Hills, CA. The record was last updated on Sep 1, 2016.