California Mentor

LBN: Institute For Family Centered Services, Inc.
California Mentor is an health care organization with primary practice located at 790 S. State Street Suite #6 , San Jacinto CA 92583. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Institute For Family Centered Services, Inc. can be contacted via phone (951) 782-0040, or through Rodenberg-Roberts, Mary Patricia via phone (952) 836-2234.

Contact Information

Primary practice address
790 S. State Street Suite #6 San Jacinto CA 92583
Phone: (951) 782-0040
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rodenberg-Roberts, Mary Patricia
Phone: (952) 836-2234

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1922560879
LBN Legal business name Institute For Family Centered Services, Inc.
DBA Doing business as California Mentor
Authorized official Rodenberg-Roberts, Mary Patricia
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2019
Last updated May 24th, 2024 - about 4 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922560879 NPPES
California MEDICAID 33PYNCX

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