Organization
INSTITUTE FOR FAMILY CENTERED SERVICES INC.
Active
Other names
CA MENTOR
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PATRICIA RODENBERG-ROBERTS (VP & SR. ASST GENERAL COUNSEL)
(952) 836-2234
Entity
Organization
Contact information
Practice address
40015 SIERRA HWY STE B280, PALMDALE, CA 93550-2143
(508) 740-6803
Mailing address
9166 ANAHEIM PL STE 200, RANCHO CUCAMONGA, CA 91730-8547
(909) 483-2505
(909) 483-2119
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316311996
—
CA
Enumeration date
11/19/2015
Last updated
05/07/2024
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