Provider Demographics
NPI:1093260101
Name:THE FAMILY CENTER
Entity Type:Organization
Organization Name:THE FAMILY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OUTPATIENT SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LADCI, MA, CAGS
Authorized Official - Phone:617-770-9690
Mailing Address - Street 1:1419 HANCOCK ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-5250
Mailing Address - Country:US
Mailing Address - Phone:617-770-9690
Mailing Address - Fax:617-770-9692
Practice Address - Street 1:1419 HANCOCK ST
Practice Address - Street 2:SUITE 200
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-5250
Practice Address - Country:US
Practice Address - Phone:617-770-9690
Practice Address - Fax:617-770-9692
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VOLUNTEERS OF AMERICA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-18
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4372251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health