Provider Demographics
NPI:1093872863
Name:OUR FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:OUR FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAHE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:520-323-1708
Mailing Address - Street 1:PO BOX 40250
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85717-0250
Mailing Address - Country:US
Mailing Address - Phone:520-323-1708
Mailing Address - Fax:520-323-9077
Practice Address - Street 1:3830 E BELLEVUE ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-4012
Practice Address - Country:US
Practice Address - Phone:520-323-1708
Practice Address - Fax:520-323-9077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH-2902251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ810110OtherAHCCCS NORTH CAMPUS