Provider Demographics
NPI:1447477971
Name:FAMILY THERAPY INSTITUTE
Entity type:Organization
Organization Name:FAMILY THERAPY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HYBARGER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:619-562-2130
Mailing Address - Street 1:7171 ALVARADO RD STE 100A
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-8996
Mailing Address - Country:US
Mailing Address - Phone:619-562-2130
Mailing Address - Fax:619-562-2584
Practice Address - Street 1:7171 ALVARADO RD STE 100A
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-8996
Practice Address - Country:US
Practice Address - Phone:619-562-2130
Practice Address - Fax:619-562-2584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health