Provider Demographics
NPI:1093394223
Name:INTEGRATIVE FAMILY THERAPY, A CALIFORNIA MARRIAGE AND FAMILY THERAPY C
Entity Type:Organization
Organization Name:INTEGRATIVE FAMILY THERAPY, A CALIFORNIA MARRIAGE AND FAMILY THERAPY C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRETTE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT
Authorized Official - Phone:760-640-0270
Mailing Address - Street 1:171 SAXONY RD STE 106
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-6776
Mailing Address - Country:US
Mailing Address - Phone:760-640-0270
Mailing Address - Fax:760-203-6430
Practice Address - Street 1:171 SAXONY RD STE 106
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-6776
Practice Address - Country:US
Practice Address - Phone:760-640-0270
Practice Address - Fax:760-203-6430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-05
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty