Organization · Type 2 NPI

Vista del Mar Child and Family Svc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Los Angeles, CA

NPI number 1992243380 Active

Practice location

3321 Edith St
Los Angeles, CA 90064-4736

Call (310) 836-1223 Map

Fax (310) 204-1405

Mailing address

3200 Motor Ave
Los Angeles, CA 90034-3710

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None listed

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.

2 other providers at this address

Other emotionally disturbed childrens' residential treatment facility providers in Los Angeles

See all in Los Angeles →

NPI record

NPI: 1992243380
Entity type: Organization (Type 2)
Issued: Feb 6, 2017
Last updated: Mar 1, 2022
Status: Active

Other names

<unavail>
Vista del Mar CH & Fam Strtp · other name
Vista del Mar CH & Fam Strtp · other name

Authorized official

Cheryl Carrington
Director Quality, Standards and Com
(310) 836-1223

Verify this record

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.

Is this your record? How to update it.

About NPI 1992243380

Vista del Mar Child and Family Svc.'s National Provider Identifier is 1992243380, issued on Feb 6, 2017. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 1, 2022.