Western Youth Services
Organization Active NPI Adolescent and Children Mental Health Clinic/Center · Fountain Valley, CA
NPI 1629429436 · NPPES record last updated Jun 23, 2016
Key facts
- NPI
- 1629429436
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adolescent and Children Mental Health Clinic/Center 261QM0855X
- Legal business name
- WESTERN YOUTH SERVICES
- Practice address
- 18350 Mount Langley St
Suite 140
Fountain Valley, CA 92708-6900 - Phone
- (949) 855-1556
- Fax
- (949) 951-2871
- NPI assigned
- Jun 23, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- WESTERN YOUTH SERVICES
Authorized official
- Name
- Dr. Lorrayne Leigh Belhumeur, PH.D.
- Title
- Ceo
- Phone
- (949) 855-1556
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- 95Western Youth Services
- Part of
- 95Western Youth Services
Locations
18350 Mount Langley St
Ste 140
Fountain Valley, CA 92708
Phone (714) 450-4118
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | CA | Yes |
Addresses
Primary practice location
18350 Mount Langley St
Suite 140
Fountain Valley, CA 92708-6900
Mailing address
18350 Mount Langley St
Suite 140
Fountain Valley, CA 92708-6900
Phone (949) 855-1556
Other names
- CYS Western Youth Services - Central Services
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All providers in Fountain Valley, CA · Adolescent and Children Mental Health Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.