# THE FAMILY THERAPY CENTER CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The FAMILY THERAPY CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851143879
- **Authorized official:** KATELINE MEDINA M.S. (CEO/CFO)
- **Authorized official phone:** (951) 836-6727

## Contact information

- **Practice address:** 29995 TECHNOLOGY DR STE 103, MURRIETA, CA 92563-2633
- **Practice address phone:** (951) 384-1661
- **Mailing address:** PO BOX 53573, RIVERSIDE, CA 92517-4573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/03/2024
- **Last updated:** 11/27/2024