Organization
VICTOR VALLEY FAMILY RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON GREEN (CEO)
(760) 887-1909
Entity
Organization
Contact information
Practice address
16000 YUCCA ST, HESPERIA, CA 92345-3517
(760) 887-1909
Mailing address
PO BOX 1248, VICTORVILLE, CA 92393-1248
(760) 887-1909
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
251B00000X
Case Management Agency
—
CA
251V00000X
Voluntary or Charitable Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
10/29/2009
Last updated
03/14/2016
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