Provider Demographics
NPI:1831382761
Name:STAND FOR FAMILIES FREE OF VIOLENCE
Entity type:Organization
Organization Name:STAND FOR FAMILIES FREE OF VIOLENCE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SANDOVAL
Authorized Official - Suffix:
Authorized Official - Credentials:EXECUTIVE DIRECTOR
Authorized Official - Phone:925-603-0112
Mailing Address - Street 1:1410 DANZIG PLZ
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-7979
Mailing Address - Country:US
Mailing Address - Phone:925-676-2845
Mailing Address - Fax:925-676-0274
Practice Address - Street 1:3220 BLUME DR
Practice Address - Street 2:SUITE 177
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94806-1767
Practice Address - Country:US
Practice Address - Phone:510-236-8972
Practice Address - Fax:510-231-2380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health