Organization
INSTITUTE FOR FAMILY CENTERED SERVICES INC., DBA CALIFORNIA MENTOR
Active
Parent organization
NATIONAL MENTOR HEALTHCARE, LLC
Other names
California MENTOR
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL MENTOR HEALTHCARE, LLC
Authorized official
STACEY RISOTTI (VICE PRESIDENT OF OPERATIONS)
(508) 740-6803
Entity
Organization
Contact information
Practice address
41990 COOK ST STE 801A, PALM DESERT, CA 92211-6103
(951) 782-0040
Mailing address
3756 SANTA ROSALIA DR STE 424, LOS ANGELES, CA 90008-3614
(909) 736-7361
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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