Provider Demographics
NPI:1598216947
Name:HUMAN SERVICES NETWORK
Entity Type:Organization
Organization Name:HUMAN SERVICES NETWORK
Other - Org Name:YOUTH SERVICES NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KORN
Authorized Official - Suffix:
Authorized Official - Credentials:MA MFT
Authorized Official - Phone:818-898-7100
Mailing Address - Street 1:15501 SAN FERNANDO MISSION BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-1382
Mailing Address - Country:US
Mailing Address - Phone:818-898-7100
Mailing Address - Fax:818-898-7474
Practice Address - Street 1:23780 VIA IRANA
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2515
Practice Address - Country:US
Practice Address - Phone:818-352-2400
Practice Address - Fax:818-353-1957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA198205892322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children