# SOUTHLAND MARRIAGE AND FAMILY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southland Mental Health Alliance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306211826
- **Authorized official:** MR. STEPHEN THOMAS PRYSTASH LMFT (DIRECTOR)
- **Authorized official phone:** (951) 526-4118

## Contact information

- **Practice address:** 28364 VINCENT MORAGA DR, F, TEMECULA, CA 92590-3656
- **Practice address phone:** (951) 526-4118
- **Practice address fax:** (951) 602-6166
- **Mailing address:** 28364 VINCENT MORAGA DR, F, TEMECULA, CA 92590-3656
- **Mailing address phone:** (951) 526-4118
- **Mailing address fax:** (951) 602-6166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | MFC24093 | CA | Yes |

## Other

- **Enumeration date:** 12/09/2015
- **Last updated:** 12/09/2015