Provider Demographics
NPI:1205030418
Name:FOX CONSULTING & MANAGEMENT SERVICES
Entity Type:Organization
Organization Name:FOX CONSULTING & MANAGEMENT SERVICES
Other - Org Name:FOX CLINICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:MASSC
Authorized Official - Phone:909-797-0096
Mailing Address - Street 1:35225 AVENUE A
Mailing Address - Street 2:SUITE 101
Mailing Address - City:YUCAIPA
Mailing Address - State:CA
Mailing Address - Zip Code:92399-4359
Mailing Address - Country:US
Mailing Address - Phone:909-790-8603
Mailing Address - Fax:909-790-8618
Practice Address - Street 1:35225 AVENUE A
Practice Address - Street 2:SUITE 101
Practice Address - City:YUCAIPA
Practice Address - State:CA
Practice Address - Zip Code:92399-4359
Practice Address - Country:US
Practice Address - Phone:909-790-8603
Practice Address - Fax:909-790-8618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)