Organization
INSTITUTE FOR FAMILY CENTERED SERVICES, INC.
Active
Organization
INSTITUTE FOR FAMILY CENTERED SERVICES, INC.
Active
Other names
California Mentor
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PATRICIA RODENBERG-ROBERTS (VICE PRESIDENT & SENIOR ASST GENERA)
(952) 836-2234
Entity
Organization
Contact information
Practice address
790 S. STATE STREET SUITE #6, SAN JACINTO, CA 92583
(951) 782-0040
Mailing address
6600 FRANCE AVENUE SOUTH SUITE 350, EDINA, MN 55435
(800) 388-5150
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33PYNCX
—
CA
Enumeration date
04/01/2019
Last updated
05/24/2024
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