Provider Demographics
NPI:1497404362
Name:CA FAMILY THERAPY INC
Entity Type:Organization
Organization Name:CA FAMILY THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-290-9986
Mailing Address - Street 1:790 E SANTA CLARA ST STE 101A
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-2965
Mailing Address - Country:US
Mailing Address - Phone:805-290-9986
Mailing Address - Fax:805-232-3704
Practice Address - Street 1:790 E SANTA CLARA ST STE 101A
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001-2965
Practice Address - Country:US
Practice Address - Phone:805-290-9986
Practice Address - Fax:805-232-3704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-19
Last Update Date:2022-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health