Provider First Line Business Practice Location Address: 
CENTER FOR INTEGRATED FAMILY & HEALTH SERVICES
    Provider Second Line Business Practice Location Address: 
540 S EREMLAND DR
    Provider Business Practice Location Address City Name: 
COVINA
    Provider Business Practice Location Address State Name: 
CA
    Provider Business Practice Location Address Postal Code: 
91723
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
626-966-1577
    Provider Business Practice Location Address Fax Number: 
626-331-4529
    Provider Enumeration Date: 
02/13/2007