Organization
INSTITUTE FOR FAMILY CENTERED SERVICES INC.
Active
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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