Organization · Type 2 NPI

Shouridge Group Home

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

NPI number 1649721473 Active

Practice location

6705 Shoup Avenue
West Hills, CA 91307

Fax (747) 230-5928

Mailing address

22455 Victory Blvd
West Hills, CA 91307

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X198209146 (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 1649721473

Shouridge Group Home's National Provider Identifier is 1649721473, issued on Oct 17, 2016. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in West Hills, CA. The record was last updated on Oct 17, 2016.