Provider Demographics
NPI:1053150938
Name:ROWE FAMILY THERAPY, INC.
Entity type:Organization
Organization Name:ROWE FAMILY THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JODI
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LCSW
Authorized Official - Phone:818-609-7555
Mailing Address - Street 1:7040 DEVERON RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1807
Mailing Address - Country:US
Mailing Address - Phone:818-609-7555
Mailing Address - Fax:818-294-7348
Practice Address - Street 1:7040 DEVERON RIDGE RD
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1807
Practice Address - Country:US
Practice Address - Phone:818-609-7555
Practice Address - Fax:818-294-7348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty