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Kristen Nian Lastra
Emotionally Disturbed Childrens' Residential Treatment Facility in Mountain View, California
NPI 1235468836

Kristen Nian Lastra is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Mountain View, CA. Kristen Nian Lastra practices in Mountain View, CA. The NPI Number for Kristen Nian Lastra is 1235468836 and holds a License No. (California).

The current practice location address for Kristen Nian Lastra is 1300 Montecito Ave Apt 5, Mountain View, CA and can be reached out via phone at 650-386-6118.

Location: 1300 Montecito Ave Apt 5, Mountain View, CA, 94043-4549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235468836
Provider Name
Kristen Nian Lastra
Credential
Provider Entity Type
Individual
Gender
Female
Address
1300 Montecito Ave Apt 5, Mountain View, CA, 94043-4549
Phone Number
650-386-6118
Fax Number
Provider Enumeration Date
12/10/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1300 Montecito Ave Apt 5
City
Mountain View
State
California
Zip
94043-4549
Phone Number
650-386-6118
Fax Number
person
Provider Business Mailing Address Details
Address
1300 Montecito Ave Apt 5
City
Mountain View
State
California
Zip
94043-4549
Phone Number
650-386-6118
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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