Provider Demographics
NPI:1548131691
Name:DESARROLLO FAMILIAR, INC
Entity type:Organization
Organization Name:DESARROLLO FAMILIAR, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:STAHL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:415-240-0124
Mailing Address - Street 1:205 39TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94805-2212
Mailing Address - Country:US
Mailing Address - Phone:510-412-5930
Mailing Address - Fax:510-412-0567
Practice Address - Street 1:3400 MACDONALD AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94805-4501
Practice Address - Country:US
Practice Address - Phone:510-412-5930
Practice Address - Fax:510-412-0567
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DESARROLLO FAMILIAR, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-12
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)Group - Multi-Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty