Provider Demographics
NPI:1629407440
Name:THE WHOLE CHILD - MENTAL HEALTH & HOUSING SERVICES
Entity Type:Organization
Organization Name:THE WHOLE CHILD - MENTAL HEALTH & HOUSING SERVICES
Other - Org Name:BIRTH TO FIVE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:ENOMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-692-0383
Mailing Address - Street 1:10155 COLIMA RD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-2042
Mailing Address - Country:US
Mailing Address - Phone:562-692-0383
Mailing Address - Fax:562-692-0380
Practice Address - Street 1:12225 BEVERLY BLVD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-2966
Practice Address - Country:US
Practice Address - Phone:562-692-0383
Practice Address - Fax:562-692-0380
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE WHOLE CHILD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-11-02
Last Update Date:2017-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health