OrganizationActive
Aviva Family and Children Services
NPI 1770915597 · Emotionally Disturbed Childrens' Residential Treatment Facility · Los Angeles, CA
Provider details
- NPI number
- 1770915597
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ira Kruskal, Vice President(323) 876-0550
- License
- 273152 (CA)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1701 Camino Palmero
Los Angeles, CA 90046
Phone: (323) 876-0550
Approximate (ZIP-level) locationGet directions
Mailing address
1701 Camino Palmero St
Los Angeles, CA 90046-2902
Registry dates
- Enumerated
- 2013-08-02
- Last updated
- 2013-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.