Cys Family Preservation Community Services Wraparound

LBN: Family Preservation Community Services
Cys Family Preservation Community Services Wraparound is an health care organization with primary practice located at 2112 East 4Th Street Suite 107, Santa Ana CA 92705. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Family Preservation Community Services can be contacted via phone (714) 399-1860, or through Stoller, Theresa via phone (714) 399-1860.

Contact Information

Primary practice address
2112 East 4Th Street Suite 107 Santa Ana CA 92705
Fax: (714) 399-1867
Website:
Authorized official contact:
Name: Stoller, Theresa LMFT

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1609075993
LBN Legal business name Family Preservation Community Services
DBA Doing business as Cys Family Preservation Community Services Wraparound
Authorized official Stoller, Theresa LMFT
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 16th, 2007
Last updated Oct 31st, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609075993 NPPES
California Other PROVIDER # 30EB MEDI-CAL

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