Organization
FAMILY SUPPORT NETWORK
Active
Organization
FAMILY SUPPORT NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA AUSTIN (CEO)
(714) 447-3301
Entity
Organization
Contact information
Practice address
1894 N MAIN ST, ORANGE, CA 92865-4117
(714) 447-3301
(714) 447-3302
Mailing address
1894 N MAIN ST, ORANGE, CA 92865-4117
(714) 447-3301
(714) 447-3302
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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