Provider Demographics
NPI:1558141705
Name:CHILD CARE RESOURCE CENTER, INC.
Entity Type:Organization
Organization Name:CHILD CARE RESOURCE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:HONSBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-717-1025
Mailing Address - Street 1:20001 PRAIRIE ST
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-6508
Mailing Address - Country:US
Mailing Address - Phone:818-717-1025
Mailing Address - Fax:
Practice Address - Street 1:13100 TELFAIR AVE
Practice Address - Street 2:
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-3573
Practice Address - Country:US
Practice Address - Phone:818-717-1025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health