Provider Demographics
NPI:1760932800
Name:THE CENTER FOR FAMILY UNITY
Entity Type:Organization
Organization Name:THE CENTER FOR FAMILY UNITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:PROF
Authorized Official - First Name:KELLYE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUGHERY
Authorized Official - Suffix:
Authorized Official - Credentials:MFT, RPT-S
Authorized Official - Phone:619-884-0601
Mailing Address - Street 1:3625 RUFFIN RD STE 302
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1832
Mailing Address - Country:US
Mailing Address - Phone:619-884-0601
Mailing Address - Fax:
Practice Address - Street 1:1029 OLIVE AVE
Practice Address - Street 2:
Practice Address - City:RAMONA
Practice Address - State:CA
Practice Address - Zip Code:92065-1511
Practice Address - Country:US
Practice Address - Phone:619-884-0601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-13
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49206106H00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty