Provider Demographics
NPI:1174017388
Name:PARTNERS WITH FAMILIES AND CHILDREN
Entity Type:Organization
Organization Name:PARTNERS WITH FAMILIES AND CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAC SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:FRANCINE
Authorized Official - Last Name:WIDHALM
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:509-473-4810
Mailing Address - Street 1:1321 W BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201
Mailing Address - Country:US
Mailing Address - Phone:509-473-4810
Mailing Address - Fax:509-473-4840
Practice Address - Street 1:1321 W BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201
Practice Address - Country:US
Practice Address - Phone:509-473-4810
Practice Address - Fax:509-473-4840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-20
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW603316781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty