Provider Demographics
NPI:1982737284
Name:THE FAMILY CENTER
Entity type:Organization
Organization Name:THE FAMILY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IN HOME FAMILY COUNSELOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:LOURDES
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:626-966-1577
Mailing Address - Street 1:540 S EREMLAND DR
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-3186
Mailing Address - Country:US
Mailing Address - Phone:951-751-7000
Mailing Address - Fax:
Practice Address - Street 1:758 W ARMEL DRIVE
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723
Practice Address - Country:US
Practice Address - Phone:951-751-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health