Provider Demographics
NPI:1336221670
Name:SANTA CLARITA VALLEY MENTAL HEALTH CENTER
Entity type:Organization
Organization Name:SANTA CLARITA VALLEY MENTAL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:SPEER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:661-222-2800
Mailing Address - Street 1:25050 PEACHLAND AVE
Mailing Address - Street 2:203
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-2523
Mailing Address - Country:US
Mailing Address - Phone:661-222-2800
Mailing Address - Fax:661-255-3428
Practice Address - Street 1:25050 PEACHLAND AVE
Practice Address - Street 2:203
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-2523
Practice Address - Country:US
Practice Address - Phone:661-222-2800
Practice Address - Fax:661-255-3428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS21039251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health