NPI | 1528559333 |
---|---|
Doing Business As | FFS LPCC |
Entity Type | Organization |
Authorized Contact | ERICA PORTEOUS Chief Compliance Officer 909-388-0882 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2018-05-29 |
Last Update Date | 2018-05-29 |