Healthcare Provider Details

I. General information

NPI: 1669766853
Provider Name (Legal Business Name): FAMILY BUILDERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2011
Last Update Date: 06/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3704 S MOUNTAIN CT
VISALIA CA
93277-7937
US

IV. Provider business mailing address

6500 S MOONEY BLVD
VISALIA CA
93277-9535
US

V. Phone/Fax

Practice location:
  • Phone: 559-739-7801
  • Fax:
Mailing address:
  • Phone:
  • 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: MS. MARY ESPARZA
Title or Position: COUNSELOR
Credential:
Phone: 559-685-1200