Provider Demographics
NPI:1063654168
Name:FAMILY & CHILDREN FIRST, INC.
Entity Type:Organization
Organization Name:FAMILY & CHILDREN FIRST, INC.
Other - Org Name:FAMILY & CHILDREN'S PLACE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:MCQUADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-893-3900
Mailing Address - Street 1:525 ZANE ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40203-3203
Mailing Address - Country:US
Mailing Address - Phone:502-893-3900
Mailing Address - Fax:502-893-3900
Practice Address - Street 1:1800 NEVILLE DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40216-3820
Practice Address - Country:US
Practice Address - Phone:502-893-3900
Practice Address - Fax:502-893-9646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-03
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY13000088Medicaid
KY090217000OtherMAGELLAN
KY000000224164OtherANTHEM
IN100415400Medicaid