Provider Demographics
NPI:1275238511
Name:FAMILIES UNITED FOR EQUITY
Entity Type:Organization
Organization Name:FAMILIES UNITED FOR EQUITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DARRELL
Authorized Official - Middle Name:
Authorized Official - Last Name:MELLION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-367-3909
Mailing Address - Street 1:209 JOAQUIN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577-4709
Mailing Address - Country:US
Mailing Address - Phone:833-762-1110
Mailing Address - Fax:
Practice Address - Street 1:209 JOAQUIN AVE
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-4709
Practice Address - Country:US
Practice Address - Phone:833-762-1110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management