Provider Demographics
NPI:1487195160
Name:NEW DAWN CHRISTIAN FAMILY SERVICES
Entity Type:Organization
Organization Name:NEW DAWN CHRISTIAN FAMILY SERVICES
Other - Org Name:ASIAN AMERICAN CHRISTIAN COUNSELING SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:JEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-457-2900
Mailing Address - Street 1:2550 W MAIN ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-1694
Mailing Address - Country:US
Mailing Address - Phone:626-457-2900
Mailing Address - Fax:
Practice Address - Street 1:2550 W MAIN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-1694
Practice Address - Country:US
Practice Address - Phone:626-457-2900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-15
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34461261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)