Provider Demographics
NPI:1649476425
Name:CRITTENTON SERVICES FOR CHILDREN AND FAMILIES
Entity type:Organization
Organization Name:CRITTENTON SERVICES FOR CHILDREN AND FAMILIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHILD AND FAMILYSPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARATE
Authorized Official - Suffix:
Authorized Official - Credentials:BA IN PSYCHOLOGY
Authorized Official - Phone:562-421-7200
Mailing Address - Street 1:4010 WATSON PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-4037
Mailing Address - Country:US
Mailing Address - Phone:562-421-7200
Mailing Address - Fax:562-421-7221
Practice Address - Street 1:4010 WATSON PLAZA DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-4037
Practice Address - Country:US
Practice Address - Phone:562-421-7200
Practice Address - Fax:562-421-7221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health