Provider Demographics
NPI:1225041478
Name:INDIVIDUALS FIRST, INC.
Entity Type:Organization
Organization Name:INDIVIDUALS FIRST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MACCRACKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-560-2608
Mailing Address - Street 1:PO BOX 61246
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23466-1246
Mailing Address - Country:US
Mailing Address - Phone:757-560-2608
Mailing Address - Fax:757-497-6623
Practice Address - Street 1:4845 WOODS EDGE RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-7267
Practice Address - Country:US
Practice Address - Phone:757-560-2608
Practice Address - Fax:757-497-6623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities