Provider Demographics
NPI:1609106285
Name:FAMILY SERVICES OF THE DESERT
Entity Type:Organization
Organization Name:FAMILY SERVICES OF THE DESERT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-288-7878
Mailing Address - Street 1:14080 PALM DRIVE
Mailing Address - Street 2:STE. E
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92240
Mailing Address - Country:US
Mailing Address - Phone:760-288-7878
Mailing Address - Fax:760-288-7474
Practice Address - Street 1:14080 PALM DRIVE
Practice Address - Street 2:STE. E
Practice Address - City:DHS
Practice Address - State:CA
Practice Address - Zip Code:92240
Practice Address - Country:US
Practice Address - Phone:760-288-7878
Practice Address - Fax:760-288-7474
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY SERVICES OF THE DESERT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty