Organization
FAMILY SERVICE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHLAM JADALLAH (SPECIALIST)
(951) 686-1096
Entity
Organization
Contact information
Practice address
17210 SLOVER AVE STE 200, FONTANA, CA 92337-7536
(909) 888-2100
Mailing address
21250 BOX SPRINGS RD STE 212, MORENO VALLEY, CA 92557-8712
(951) 686-1096
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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