Provider Demographics
NPI:1063853620
Name:FAMILY & CHILDREN'S FIRST, INC
Entity Type:Organization
Organization Name:FAMILY & CHILDREN'S FIRST, INC
Other - Org Name:FAMILY & CHILDREN'S PLACE, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT - FINANCE
Authorized Official - Prefix:MR
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:502-893-9646
Practice Address - Street 1:100 W COURT AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3502
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:2013-07-11
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY06-0009251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health