Provider Demographics
NPI:1598981722
Name:DESARROLLO FAMILIAR, INC
Entity Type:Organization
Organization Name:DESARROLLO FAMILIAR, INC
Other - Org Name:FAMILIAS UNIDAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ADORADOR
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:510-412-5930
Mailing Address - Street 1:1191 CENTRAL BLVD
Mailing Address - Street 2:SUITE A-ROOM 1
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-2279
Mailing Address - Country:US
Mailing Address - Phone:925-634-6235
Mailing Address - Fax:
Practice Address - Street 1:1191 CENTRAL BLVD
Practice Address - Street 2:SUITE A-ROOM 1
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-2279
Practice Address - Country:US
Practice Address - Phone:925-634-6235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health