Provider Demographics
NPI:1366581233
Name:FAMILY SERVICES OF THE DESERT
Entity type:Organization
Organization Name:FAMILY SERVICES OF THE DESERT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-347-2398
Mailing Address - Street 1:81709 DR. CARREON BLVD.
Mailing Address - Street 2:STE D-1
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201
Mailing Address - Country:US
Mailing Address - Phone:760-347-2398
Mailing Address - Fax:760-347-6468
Practice Address - Street 1:81709 DR. CARREON BLVD.
Practice Address - Street 2:STE D-1
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201
Practice Address - Country:US
Practice Address - Phone:760-347-2398
Practice Address - Fax:760-347-6468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty