Provider Demographics
NPI:1891108510
Name:CHILD AND FAMILY GUIDANCE CENTER
Entity Type:Organization
Organization Name:CHILD AND FAMILY GUIDANCE CENTER
Other - Org Name:CHILD AND FAM GUIDANCE CTR CFC
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:WELCH TOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:818-739-5148
Mailing Address - Street 1:9650 ZELZAH AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-2003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19100 PARTHENIA ST #1,2,3,4 6, AND 7
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3664
Practice Address - Country:US
Practice Address - Phone:818-739-5125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-10
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health