Provider Demographics
NPI:1477310548
Name:FAMILY ENRICHMENT HOUSING & DEVELOPMENT CORPORATION
Entity Type:Organization
Organization Name:FAMILY ENRICHMENT HOUSING & DEVELOPMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:562-335-6503
Mailing Address - Street 1:1119 STONEBRYN DR
Mailing Address - Street 2:
Mailing Address - City:HARBOR CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90710-1544
Mailing Address - Country:US
Mailing Address - Phone:562-335-6503
Mailing Address - Fax:
Practice Address - Street 1:3516 LINDEN AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-4520
Practice Address - Country:US
Practice Address - Phone:310-738-6982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health