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Shoup Group Home
Emotionally Disturbed Childrens' Residential Treatment Facility in Woodland Hills, California
NPI 1881141406

Shoup Group Home is a Emotionally Disturbed Childrens' Residential Treatment Facility based in West Hills, CA. Shoup Group Home practices in Woodland Hills, CA. The NPI Number for Shoup Group Home is 1881141406 and holds a License No. 197601995 (California).

The current practice location address for Shoup Group Home is 6450 Shoup Avenue, Woodland Hills, CA and can be reached out via phone at 818-347-3839 and via fax at 818-347-3839.

Location: 6450 Shoup Avenue, Woodland Hills, CA, 91307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881141406
Provider Name
Shoup Group Home
Credential
Provider Entity Type
Organization
Address
6450 Shoup Avenue, Woodland Hills, CA, 91307
Phone Number
818-347-3839
Fax Number
818-347-3839
Provider Enumeration Date
09/01/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
197601995 01 CA DEPARTMENT OF SOCIAL SERVICES
institution
Provider Business Practice Location Address Details
Address
6450 Shoup Avenue
City
Woodland Hills
State
California
Zip
91307
Phone Number
818-347-3839
Fax Number
818-347-3839
person
Provider Business Mailing Address Details
Address
6450 Shoup Avenue
City
Woodland Hills
State
California
Zip
91307
Phone Number
818-347-3839
Fax Number
818-347-3839
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
197601995 (California)
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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