Provider Demographics
NPI:1518091743
Name:FAMILY BUILDERS FOSTER CARE, INC
Entity Type:Organization
Organization Name:FAMILY BUILDERS FOSTER CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBEAU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:559-685-1200
Mailing Address - Street 1:3300 S FAIRWAY ST STE 104
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-8109
Mailing Address - Country:US
Mailing Address - Phone:559-685-1200
Mailing Address - Fax:559-685-9742
Practice Address - Street 1:3300 S FAIRWAY ST STE 104
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277
Practice Address - Country:US
Practice Address - Phone:559-685-1200
Practice Address - Fax:559-685-9742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA547202600251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA01924308Medicaid