Organization
FAMILY SERVICE ASSOCIATION
Active
Organization
FAMILY SERVICE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOM BETRO ACSW (PRESIDENT/ CEO)
(951) 686-1096
Entity
Organization
Contact information
Practice address
8172 MAGNOLIA AVENUE, RIVERSIDE, CA 92504-3441
(951) 509-8733
(951) 509-8479
Mailing address
21250 BOX SPRINGS ROAD, SUITE 106, MORENO VALLEY, CA 92557-8705
(951) 369-8036
(951) 369-8303
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/11/2007
Last updated
11/03/2011
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