Basic Information
| Provider Information | |||||||||
| NPI: | 1689931586 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | SPIRITT FAMILY SERVICES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8000 PAINTER AVENUE | ||||||||
| Address2: | |||||||||
| City: | WHITTIER | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90602 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5629037000 | ||||||||
| FaxNumber: | 5626931803 | ||||||||
| Practice Location | |||||||||
| Address1: | 147 S. 6TH AVENUE | ||||||||
| Address2: | |||||||||
| City: | LA PUENTE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917462914 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6269680041 | ||||||||
| FaxNumber: | 6269680091 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/16/2012 | ||||||||
| LastUpdateDate: | 06/24/2015 | ||||||||
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| AuthorizedOfficialLastName: | TORRES | ||||||||
| AuthorizedOfficialFirstName: | ELVIA | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 5629037000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.S., LMFT, MBA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.