Provider Demographics
NPI:1326885666
Name:PCS FAMILY SERVICES, INC
Entity type:Organization
Organization Name:PCS FAMILY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IVORY
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-620-0688
Mailing Address - Street 1:383 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91768-3826
Mailing Address - Country:US
Mailing Address - Phone:909-620-0288
Mailing Address - Fax:
Practice Address - Street 1:383 N MAIN ST
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91768-3826
Practice Address - Country:US
Practice Address - Phone:909-620-0288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management