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Family Support Network

Community/Behavioral Health in Orange, CA. Organization (NPI-2).

NPI number1669937504
StatusActive
Last updated in NPPESFeb 5, 2019

Details

NPI
1669937504
Entity type
Organization (NPI-2)
Legal business name
Family Support Network
Organization subpart
No
Enumeration date
Feb 5, 2019
Last updated
Feb 5, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)––
101YM0800X Counselor, Mental Health––
1041C0700X Social Worker, Clinical––
106H00000X Marriage & Family Therapist––
252Y00000X Early Intervention Provider Agency––

Practice location

1894 N Main St
Orange, CA 92865-4117

Phone 714-447-3301 · Fax 714-447-3302

Mailing address

1894 N Main St
Orange, CA 92865-4117

Phone 714-447-3301 · Fax 714-447-3302

Authorized official

Pamela Austin
Ceo
7144473301

Is something wrong?

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