Provider Demographics
NPI:1255667820
Name:THE C.A.U.S.E. APPROACH
Entity Type:Organization
Organization Name:THE C.A.U.S.E. APPROACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AGENA
Authorized Official - Middle Name:BOUCARD
Authorized Official - Last Name:CAINES
Authorized Official - Suffix:
Authorized Official - Credentials:BACHELORS OF SCIENCE
Authorized Official - Phone:760-525-7461
Mailing Address - Street 1:6200 PEGASUS DR
Mailing Address - Street 2:SUITE 10
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-8054
Mailing Address - Country:US
Mailing Address - Phone:951-751-7585
Mailing Address - Fax:951-789-6377
Practice Address - Street 1:6200 PEGASUS DR
Practice Address - Street 2:SUITE 10
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-8054
Practice Address - Country:US
Practice Address - Phone:951-751-7585
Practice Address - Fax:951-789-6377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A5178251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health