Provider Demographics
NPI:1760519219
Name:CHILDNET YOUTH AND FAMILY SERVICES INC
Entity Type:Organization
Organization Name:CHILDNET YOUTH AND FAMILY SERVICES INC
Other - Org Name:CHILDNET YOUTH & FAMILY SERVICES INC.
Other - Org Type:Doing Business As
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 1:3545 LONG BEACH BLVD FL 5
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-3968
Mailing Address - Country:US
Mailing Address - Phone:562-498-5500
Mailing Address - Fax:562-498-5501
Practice Address - Street 1:3545 LONG BEACH BLVD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-3941
Practice Address - Country:US
Practice Address - Phone:562-490-7600
Practice Address - Fax:562-490-7601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health