Provider Demographics
NPI:1962825265
Name:D'VEAL FAMILY AND YOUTH SERVICES
Entity Type:Organization
Organization Name:D'VEAL FAMILY AND YOUTH SERVICES
Other - Org Name:D'VEAL FAM & YTH ALTADENA ELEM SCH.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCALL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:626-794-3136
Mailing Address - Street 1:PO BOX 40255
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91114-7255
Mailing Address - Country:US
Mailing Address - Phone:626-296-8900
Mailing Address - Fax:626-296-8910
Practice Address - Street 1:743 E CALAVERAS ST
Practice Address - Street 2:
Practice Address - City:ALTADENA
Practice Address - State:CA
Practice Address - Zip Code:91001-2332
Practice Address - Country:US
Practice Address - Phone:626-796-3453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:D'VEAL FAMILY AND YOUTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-23
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health