Organization Name: | FOX CONSULTING & MANAGEMENT SERVICES |
NPI Number: | 1205030418 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ZACHARY DAVID FOX (CEO) |
Mailing Address: | 35225 Avenue A Suite 101 Yucaipa |
State: | CA US |
Postal Code: | 923994359 |
Phone Number: | 9097908603 |
Fax Number: | 9097908618 |
NPI Enumeration Date: | 06/12/2007 |
NPI Last Update Date: | 07/08/2007 |
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: |