Organization
INSTITUTE FOR FAMILY CENTERED SERVICES INC.
Active
Parent organization
NATIONAL MENTOR HEALTHCARE, LLC
Other names
CA MENTOR
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL MENTOR HEALTHCARE, LLC
Authorized official
MARY PATRICIA RODENBERG-ROBERTS (VP & SR ASST GENERAL COUNSEL)
(952) 836-2234
Entity
Organization
Contact information
Practice address
12631 IMPERIAL HWY, C103, SANTA FE SPRINGS, CA 90670-4710
(909) 736-7361
Mailing address
9166 ANAHEIM PL STE 200, RANCHO CUCAMONGA, CA 91730-8547
(909) 736-7361
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Enumeration date
07/11/2016
Last updated
05/07/2024
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