| Family Dynamics Resource Center | |
|
3657 Ricardo Ave Redding CA 96002-2627 | |
| (530) 242-9007 | |
| Not Available |
| Full Name | Family Dynamics Resource Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3657 Ricardo Ave, Redding, California |
| Authorized Official Name and Position | Sandra Ann Wilson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5306059902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dynamics Resource Center 3657 Ricardo Ave Redding CA 96002-2627 Ph: (530) 242-9007 | Family Dynamics Resource Center 3657 Ricardo Ave Redding CA 96002-2627 Ph: (530) 242-9007 |
| NPI Number | 1619272564 |
|---|---|
| Provider Enumeration Date | 01/24/2011 |
| Last Update Date | 08/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619272564 | NPI | - | NPPES |
| 1023168259 | Other | CA | 1 INDIVIDUAL |
| 1619272564 | Other | CA | FAMILY DYNAMICS RESOURCE CENTER |
| 1942221130 | Other | CA | 1-INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCS22115 (California) | Secondary |
| 251S00000X | Community/behavioral Health | 49910 (California) | Primary |
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