Avant Garde Foster Family Agency

LBN: Avant Garde Community Counseling Center
Avant Garde Foster Family Agency is an health care organization with primary practice located at 1655 E 6Th St Suite A 4-C, Corona CA 92879-1732. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Avant Garde Community Counseling Center can be contacted via phone (951) 735-5300, or through Estravit, Gregory via phone (951) 735-5300.

Contact Information

Primary practice address
1655 E 6Th St Suite A 4-C Corona CA 92879-1732
Phone: (951) 735-5300
Fax: (951) 735-9335
Website:
Map and Directions
Authorized official contact:
Name: Estravit, Gregory
Phone: (951) 735-5300

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1518383983
LBN Legal business name Avant Garde Community Counseling Center
DBA Doing business as Avant Garde Foster Family Agency
Authorized official Estravit, Gregory
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2014
Last updated Dec 2nd, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518383983 NPPES
California Other C2552459 BUSINESS LICENSE

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