Provider Demographics
NPI:1013041219
Name:EMQ CHILDREN & FAMILY SERVICES
Entity Type:Organization
Organization Name:EMQ CHILDREN & FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY SPECIALIST II
Authorized Official - Prefix:
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:LAWAYNE
Authorized Official - Last Name:NOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MHRS
Authorized Official - Phone:916-388-6400
Mailing Address - Street 1:10995 PELARA WAY
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-6911
Mailing Address - Country:US
Mailing Address - Phone:916-853-1610
Mailing Address - Fax:
Practice Address - Street 1:10995 PELARA WAY
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-6911
Practice Address - Country:US
Practice Address - Phone:916-853-1610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty