Provider Demographics
NPI:1154626893
Name:FAMILY FIRST CENTER FOR AUTISM AND CHILD DEVELOPMENT, INC.
Entity Type:Organization
Organization Name:FAMILY FIRST CENTER FOR AUTISM AND CHILD DEVELOPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FARRELL
Authorized Official - Middle Name:
Authorized Official - Last Name:WEIERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:816-876-9352
Mailing Address - Street 1:5863 NW 72ND ST
Mailing Address - Street 2:SUITE 180
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64151-1483
Mailing Address - Country:US
Mailing Address - Phone:816-984-8282
Mailing Address - Fax:
Practice Address - Street 1:5863 NW 72ND ST
Practice Address - Street 2:SUITE 180
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64151-1483
Practice Address - Country:US
Practice Address - Phone:816-984-8282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty