Provider Demographics
NPI:1700916970
Name:INCREDIBLE FAMILIES CENTRAL
Entity Type:Organization
Organization Name:INCREDIBLE FAMILIES CENTRAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-281-5511
Mailing Address - Street 1:8910 CLAIREMONT MESA BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1104
Mailing Address - Country:US
Mailing Address - Phone:619-281-5511
Mailing Address - Fax:858-514-5190
Practice Address - Street 1:8910 CLAIREMONT MESA BLVD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1104
Practice Address - Country:US
Practice Address - Phone:619-281-5511
Practice Address - Fax:858-514-5190
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISTA HILL FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-06
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty