Provider Demographics
NPI:1043332760
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:SUPPORT COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHANISHA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:AUGUSTINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-248-0395
Mailing Address - Street 1:2499 W SHAW AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-3329
Mailing Address - Country:US
Mailing Address - Phone:559-248-0395
Mailing Address - Fax:559-248-0398
Practice Address - Street 1:2499 W SHAW AVE STE 103
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3329
Practice Address - Country:US
Practice Address - Phone:559-248-0395
Practice Address - Fax:559-248-0398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health