Provider Demographics
NPI:1255303848
Name:FAMILY SERVICES INCORPORATED
Entity Type:Organization
Organization Name:FAMILY SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MAHLON
Authorized Official - Middle Name:R
Authorized Official - Last Name:FISCEL
Authorized Official - Suffix:
Authorized Official - Credentials:ACSW LSW
Authorized Official - Phone:814-944-3583
Mailing Address - Street 1:2022 BROAD AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-2097
Mailing Address - Country:US
Mailing Address - Phone:814-944-3583
Mailing Address - Fax:814-944-8701
Practice Address - Street 1:2022 BROAD AVE
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-2097
Practice Address - Country:US
Practice Address - Phone:814-944-3583
Practice Address - Fax:814-944-8701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty