| NPI | 1104906098 |
|---|---|
| Doing Business As | LDS FAMILY SERVICES CA FOUNTAIN VALLEY |
| Entity Type | Organization |
| Authorized Contact | TODD HUNTER HUISKEN Director 714-444-3463 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-06-06 |