Provider Demographics
NPI:1871324046
Name:PARENTS ANONYMOUS INC.
Entity type:Organization
Organization Name:PARENTS ANONYMOUS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:PION-BERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:ACSW, ACHT
Authorized Official - Phone:909-575-4211
Mailing Address - Street 1:435 YALE AVE
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-4340
Mailing Address - Country:US
Mailing Address - Phone:909-575-4211
Mailing Address - Fax:909-621-0614
Practice Address - Street 1:38345 30TH ST E STE C2
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-4982
Practice Address - Country:US
Practice Address - Phone:909-575-4211
Practice Address - Fax:909-621-0614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-09
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)