| Organization Name: | FOOTHILL FAMILY SERVICE - DUARTE |
| NPI Number: | 1114176070 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER SCOTT HOWARD (IT DIRECTOR) |
| Mailing Address: | 1801 Huntington Dr Duarte |
| State: | CA US |
| Postal Code: | 910102686 |
| Phone Number: | 6269933000 |
| Fax Number: | 6263019770 |
| NPI Enumeration Date: | 09/16/2008 |
| NPI Last Update Date: | 06/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |