Provider Demographics
NPI:1104004779
Name:EXCEPTIONAL CHILDREN'S FOUNDATION
Entity Type:Organization
Organization Name:EXCEPTIONAL CHILDREN'S FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:D
Authorized Official - Last Name:BOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:310-737-9393
Mailing Address - Street 1:8740 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-2322
Mailing Address - Country:US
Mailing Address - Phone:310-737-9393
Mailing Address - Fax:
Practice Address - Street 1:5350 MACHADO RD
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-8800
Practice Address - Country:US
Practice Address - Phone:310-737-9393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health