Provider Demographics
NPI:1649314139
Name:ASPIRA FOSTER & FAMILY SERVICES - ORANGE
Entity type:Organization
Organization Name:ASPIRA FOSTER & FAMILY SERVICES - ORANGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:VERNON
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-866-4080
Mailing Address - Street 1:2050 W CHAPMAN AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-2647
Mailing Address - Country:US
Mailing Address - Phone:714-712-4900
Mailing Address - Fax:714-712-4980
Practice Address - Street 1:2050 W CHAPMAN AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2647
Practice Address - Country:US
Practice Address - Phone:714-712-4900
Practice Address - Fax:714-712-4980
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOSS BEACH HOMES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-16
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health