Provider Demographics
NPI:1275755936
Name:INDEPENDENT FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:INDEPENDENT FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:S
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MBA, LPC, MAC
Authorized Official - Phone:814-262-0007
Mailing Address - Street 1:636 SCALP AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-1640
Mailing Address - Country:US
Mailing Address - Phone:814-262-0007
Mailing Address - Fax:814-262-9887
Practice Address - Street 1:636 SCALP AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-1640
Practice Address - Country:US
Practice Address - Phone:814-262-0007
Practice Address - Fax:814-262-9887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health