Provider Demographics
NPI:1215059134
Name:AMERICAN FAMILY COUNSELING CENTER,.
Entity type:Organization
Organization Name:AMERICAN FAMILY COUNSELING CENTER,.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:IRVING
Authorized Official - Middle Name:DACRE
Authorized Official - Last Name:CROSHIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-710-1266
Mailing Address - Street 1:6700 FALLBROOK AVE
Mailing Address - Street 2:SUITE 224A
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-3530
Mailing Address - Country:US
Mailing Address - Phone:818-710-1266
Mailing Address - Fax:818-710-1267
Practice Address - Street 1:6700 FALLBROOK AVE
Practice Address - Street 2:SUITE 224A
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-3530
Practice Address - Country:US
Practice Address - Phone:818-710-1266
Practice Address - Fax:818-710-1267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 5616101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty