Provider Demographics
NPI:1982468781
Name:THE CENTER FOR VIOLENCE-FREE RELATIONSHIPS
Entity Type:Organization
Organization Name:THE CENTER FOR VIOLENCE-FREE RELATIONSHIPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONSTANCIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-295-4211
Mailing Address - Street 1:344 PLACERVILLE DR STE 11
Mailing Address - Street 2:
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667-3971
Mailing Address - Country:US
Mailing Address - Phone:530-626-1450
Mailing Address - Fax:530-626-6895
Practice Address - Street 1:344 PLACERVILLE DR STE 11
Practice Address - Street 2:
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-3971
Practice Address - Country:US
Practice Address - Phone:530-626-1450
Practice Address - Fax:530-626-6895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty