Provider Demographics
NPI:1700918695
Name:C F H P INC
Entity Type:Organization
Organization Name:C F H P INC
Other - Org Name:GAY MATHESON
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GAY
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHESON
Authorized Official - Suffix:
Authorized Official - Credentials:MFC 37294
Authorized Official - Phone:760-772-4566
Mailing Address - Street 1:42305 WASHINGTON ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211
Mailing Address - Country:US
Mailing Address - Phone:760-772-4566
Mailing Address - Fax:760-200-9431
Practice Address - Street 1:42305 WASHINGTON ST
Practice Address - Street 2:SUITE 210
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211
Practice Address - Country:US
Practice Address - Phone:760-772-4566
Practice Address - Fax:760-200-9431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 37294103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty