Organization
FAMILY ASSISTANCE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYL EVEY (EXECUTIVE DIRECTOR)
(760) 843-0701
Entity
Organization
Contact information
Practice address
15075 7TH ST, VICTORVILLE, CA 92395-3810
(760) 843-0701
(760) 843-9551
Mailing address
15075 7TH ST, VICTORVILLE, CA 92395-3810
(760) 843-0701
(760) 843-9551
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
326 01 544
CA
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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