Provider Demographics
NPI:1992347801
Name:CARE MARRIAGE AND FAMILY THERAPISTS, INC.
Entity type:Organization
Organization Name:CARE MARRIAGE AND FAMILY THERAPISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRUSTEE
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:RANDOLPH
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:909-890-4466
Mailing Address - Street 1:1881 COMMERCENTER DRIVE E
Mailing Address - Street 2:SUITE 232
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408
Mailing Address - Country:US
Mailing Address - Phone:909-890-4466
Mailing Address - Fax:
Practice Address - Street 1:1881 COMMERCENTER DRIVE E
Practice Address - Street 2:SUITE 232
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408
Practice Address - Country:US
Practice Address - Phone:909-890-4466
Practice Address - Fax:909-890-4278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-11
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty