Organization · Type 2 NPI

Western Youth Services

Adolescent and Children Mental Health Clinic/Center · Fountain Valley, CA

NPI number 1629429436 Active

Practice location

18350 Mount Langley St, Suite 140
Fountain Valley, CA 92708-6900

Fax (949) 951-2871

Specialties and licenses

Taxonomy	Code	License
Adolescent and Children Mental Health Clinic/Center Primary	261QM0855X	None listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

39 other providers at this address

NPI record

NPI: 1629429436
Entity type: Organization (Type 2)
Issued: Jun 23, 2016
Last updated: Jun 23, 2016
Status: Active
Subpart: Yes of Western Youth Services

Other names

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Cys Western Youth Services - Central Services · other name

Authorized official

Dr. Lorrayne Leigh Belhumeur, PhD
CEO
(949) 855-1556

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629429436

Western Youth Services's National Provider Identifier is 1629429436, issued on Jun 23, 2016. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Fountain Valley, CA. The record was last updated on Jun 23, 2016.