Provider Demographics
NPI:1700044708
Name:CENTER FOR INTEGRATED FAMILY AND HEALTH SERVICES
Entity Type:Organization
Organization Name:CENTER FOR INTEGRATED FAMILY AND HEALTH SERVICES
Other - Org Name:FAMILY CENTER HOLLAND MIDDLE SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:L
Authorized Official - Last Name:NIGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-966-1577
Mailing Address - Street 1:540 S EREMLAND DR STE C
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-3186
Mailing Address - Country:US
Mailing Address - Phone:626-967-5103
Mailing Address - Fax:626-331-1177
Practice Address - Street 1:4733 N LANDIS AVE
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-2565
Practice Address - Country:US
Practice Address - Phone:626-967-5103
Practice Address - Fax:626-967-1339
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTER FOR INTEGRATED FAMILY AND HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-27
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7545BOtherLA COUNTY DEPARTMENT OF MENTAL HEALTH