Provider Demographics
NPI:1003121781
Name:FAMILIES UNITED, INC.
Entity Type:Organization
Organization Name:FAMILIES UNITED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHI
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-762-0611
Mailing Address - Street 1:PO BOX 340
Mailing Address - Street 2:
Mailing Address - City:ATTICA
Mailing Address - State:IN
Mailing Address - Zip Code:47918-0340
Mailing Address - Country:US
Mailing Address - Phone:765-762-0611
Mailing Address - Fax:765-762-1753
Practice Address - Street 1:303 S PERRY ST
Practice Address - Street 2:
Practice Address - City:ATTICA
Practice Address - State:IN
Practice Address - Zip Code:47918-1441
Practice Address - Country:US
Practice Address - Phone:765-762-0611
Practice Address - Fax:765-762-1753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34000883A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health