Provider Demographics
NPI:1134356694
Name:D'VEAL FAMILY AND YOUTH SERVICES
Entity type:Organization
Organization Name:D'VEAL FAMILY AND YOUTH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:MCCALL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:626-794-3136
Mailing Address - Street 1:2750 E WASHINGTON BLVD # 240250
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-1448
Mailing Address - Country:US
Mailing Address - Phone:626-296-8900
Mailing Address - Fax:626-296-8900
Practice Address - Street 1:2750 E. WASHINGTON BLVD
Practice Address - Street 2:#230, 240, 250, 260
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-1448
Practice Address - Country:US
Practice Address - Phone:626-296-8900
Practice Address - Fax:626-296-8900
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:D'VEAL FAMILY AND YOUTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-11
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS11363251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health