Provider Demographics
NPI:1841464260
Name:CENTRO LA FAMILIA ADVOCACY SERVICES, INC.
Entity type:Organization
Organization Name:CENTRO LA FAMILIA ADVOCACY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-237-2961
Mailing Address - Street 1:2014 TULARE ST STE 711
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93721-2015
Mailing Address - Country:US
Mailing Address - Phone:559-237-2961
Mailing Address - Fax:559-237-2968
Practice Address - Street 1:2014 TULARE ST STE 711
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-2015
Practice Address - Country:US
Practice Address - Phone:559-237-2961
Practice Address - Fax:559-237-2968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT28235101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty