Provider Demographics
NPI:1760837942
Name:FAMILY BUILDERS FOSTER CARE INC.
Entity type:Organization
Organization Name:FAMILY BUILDERS FOSTER CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MONA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHADWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:559-685-1200
Mailing Address - Street 1:520 W LACEY BLVD STE 1B
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-4496
Mailing Address - Country:US
Mailing Address - Phone:559-410-8302
Mailing Address - Fax:559-410-8612
Practice Address - Street 1:520 W. LACEY BLVD
Practice Address - Street 2:SUITE 1B
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230
Practice Address - Country:US
Practice Address - Phone:559-410-8302
Practice Address - Fax:559-410-8612
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY BUILDERS FOSTER CARE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-26
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health