Provider Demographics
NPI:1477688141
Name:COMMUNITY FAMILY GUIDANCE CENTER
Entity Type:Organization
Organization Name:COMMUNITY FAMILY GUIDANCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SINKO
Authorized Official - Suffix:
Authorized Official - Credentials:EXECUTIVE DIRECTOR
Authorized Official - Phone:562-924-5526
Mailing Address - Street 1:8320 IOWA STREET
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-4928
Mailing Address - Country:US
Mailing Address - Phone:562-904-4815
Mailing Address - Fax:562-923-3273
Practice Address - Street 1:8320 IOWA STREET
Practice Address - Street 2:SUITE 201
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4928
Practice Address - Country:US
Practice Address - Phone:562-904-4815
Practice Address - Fax:562-923-3273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
CA232119251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health