Healthcare Provider Details

I. General information

NPI: 1699042192
Provider Name (Legal Business Name): MFI PERRIS FAMILY RESOURCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2011
Last Update Date: 11/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

371 WILKERSON AVE L
PERRIS CA
92570-2241
US

IV. Provider business mailing address

5870 ARLINGTON AVE 103
RIVERSIDE CA
92504-2037
US

V. Phone/Fax

Practice location:
  • Phone: 951-683-6596
  • Fax:
Mailing address:
  • Phone: 951-683-6596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CRAIG LAMBDIN
Title or Position: DIRECTOR
Credential:
Phone: 951-683-6596