Provider Demographics
NPI:1083749725
Name:THE VILLAGE FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:THE VILLAGE FAMILY SERVICES, INC.
Other - Org Name:THE VILLAGE FAMILY SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SR. DIRECTOR COMPLIANCE & RISK MGMT
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-755-8786
Mailing Address - Street 1:6736 LAUREL CANYON BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-1538
Mailing Address - Country:US
Mailing Address - Phone:818-755-8786
Mailing Address - Fax:818-755-8789
Practice Address - Street 1:6736 LAUREL CANYON BLVD
Practice Address - Street 2:SUITE 200 & SUITE 380
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-1538
Practice Address - Country:US
Practice Address - Phone:818-755-8786
Practice Address - Fax:818-755-8789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health