Empowered Family Therapy Services
Clinic/Center, Mental Health (Including Community Mental Health Center) in Turlock, CA. Organization (NPI-2).
NPI number1629851258
StatusActive
Last updated in NPPESOct 12, 2023
Details
- NPI
- 1629851258
- Entity type
- Organization (NPI-2)
- Legal business name
- Empowered Family Therapy Services
- Organization subpart
- No
- Enumeration date
- Aug 16, 2023
- Certification date
- Oct 12, 2023
- Last updated
- Oct 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – | |
| 103K00000X | Behavior Analyst | – | – |
Practice location
121 W Main St Ste GTurlock, CA 95380-4845
Phone 209-416-4866
Mailing address
121 W Main St Ste GTurlock, CA 95380-4845
Phone 209-416-4866 · Fax 209-301-7817
Authorized official
Natasha Nichole Cerrillo
Ceo
2094164866
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