Provider Demographics
NPI:1275984262
Name:COLEMAN LEARNING CENTERS
Entity Type:Organization
Organization Name:COLEMAN LEARNING CENTERS
Other - Org Name:CHILDREN LEARNING CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-987-9960
Mailing Address - Street 1:79 E DAILY DR
Mailing Address - Street 2:#293
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-5807
Mailing Address - Country:US
Mailing Address - Phone:805-987-9960
Mailing Address - Fax:805-987-4409
Practice Address - Street 1:79 E DAILY DR
Practice Address - Street 2:#293
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-5807
Practice Address - Country:US
Practice Address - Phone:805-987-9960
Practice Address - Fax:805-987-4409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-30
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA565800922322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children