Provider Demographics
NPI:1245328806
Name:SOUTHWEST FAMILY COUNSELING INC
Entity type:Organization
Organization Name:SOUTHWEST FAMILY COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:STECKDAUB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-699-3644
Mailing Address - Street 1:27715 JEFFERSON AVE
Mailing Address - Street 2:SUITE 113B
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-2660
Mailing Address - Country:US
Mailing Address - Phone:951-699-3644
Mailing Address - Fax:951-699-1196
Practice Address - Street 1:27715 JEFFERSON AVE
Practice Address - Street 2:SUITE 113B
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-2660
Practice Address - Country:US
Practice Address - Phone:951-699-3644
Practice Address - Fax:951-699-1196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management