Organization
INTEGRATED FAMILY ENRICHMENT SERVICES
Active
Organization
INTEGRATED FAMILY ENRICHMENT SERVICES
Active
Other names
Integrated Family Enrichment Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SYLVIA MAE MARTIN MSW, ACSW (PRESIDENT/CEO)
(562) 756-8499
Entity
Organization
Contact information
Practice address
11423 CITRUS GLEN LN, FONTANA, CA 92337-1040
(562) 756-8499
Mailing address
11423 CITRUS GLEN LN, FONTANA, CA 92337-1040
(562) 756-8499
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/23/2020
Last updated
02/23/2020
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