Organization
KAMALI'I FOSTER FAMILY AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ERIC MORTENSEN M.S. (CEO/PROGRAM DIRECTOR)
(951) 674-9400
Entity
Organization
Contact information
Practice address
31772 CASINO DR STE B, LAKE ELSINORE, CA 92530-4502
(951) 674-9400
(951) 674-9486
Mailing address
31772 CASINO DR STE B, LAKE ELSINORE, CA 92530-4502
(951) 674-9400
(951) 674-9486
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
06/24/2025
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