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
790 S STATE ST STE 6, SAN JACINTO, CA 92583-4924
(951) 654-6002
(951) 658-7140
Mailing address
790 S STATE ST STE 6, SAN JACINTO, CA 92583-4924
(951) 654-6002
(951) 658-7140
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
164X00000X
Licensed Vocational Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
05/07/2024
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