Provider Demographics
NPI:1427185917
Name:CHILDNET YOUTH AND FAMILY SERVICES INC
Entity Type:Organization
Organization Name:CHILDNET YOUTH AND FAMILY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:562-498-5507
Mailing Address - Street 1:5150 E PACIFIC COAST HWY STE 365
Mailing Address - Street 2:PO BOX 4550
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-3323
Mailing Address - Country:US
Mailing Address - Phone:562-498-5500
Mailing Address - Fax:562-498-5589
Practice Address - Street 1:4151 E FOUNTAIN ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-3023
Practice Address - Country:US
Practice Address - Phone:562-961-6100
Practice Address - Fax:562-961-6363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health