Provider Demographics
NPI:1720241235
Name:FOX CONSULTING AND MANAGEMENT SERVICES, LLC
Entity type:Organization
Organization Name:FOX CONSULTING AND MANAGEMENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER/CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:MA SOCIAL SCIENCE
Authorized Official - Phone:909-798-4400
Mailing Address - Street 1:1175 IDAHO ST STE 102
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-4591
Mailing Address - Country:US
Mailing Address - Phone:909-798-4440
Mailing Address - Fax:909-798-5640
Practice Address - Street 1:1175 IDAHO ST STE 102
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-4591
Practice Address - Country:US
Practice Address - Phone:909-798-4440
Practice Address - Fax:909-798-5640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 22108251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health