| Family Service Association | |
|
625 S Pico Ave San Jacinto CA 92583-4130 | |
| (951) 686-1096 | |
| Not Available |
| Full Name | Family Service Association |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 625 S Pico Ave, San Jacinto, California |
| Authorized Official Name and Position | Veronica Dover (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9516861096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Association 21250 Box Springs Road Suite 106 Moreno Valley CA 92557-8705 Ph: (951) 369-8036 | Family Service Association 625 S Pico Ave San Jacinto CA 92583-4130 Ph: (951) 686-1096 |
| NPI Number | 1164715009 |
|---|---|
| Provider Enumeration Date | 05/25/2011 |
| Last Update Date | 09/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164715009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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