Provider Demographics
NPI:1275963720
Name:FAMILY CENTER INC
Entity Type:Organization
Organization Name:FAMILY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:IVY
Authorized Official - Middle Name:SHIRELLE
Authorized Official - Last Name:GAMBLE COBB
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:718-230-1379
Mailing Address - Street 1:493 NOSTRAND AVE
Mailing Address - Street 2:3RD FL
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-2014
Mailing Address - Country:US
Mailing Address - Phone:718-230-1379
Mailing Address - Fax:718-638-1628
Practice Address - Street 1:493 NOSTRAND AVE
Practice Address - Street 2:3RD FL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-2014
Practice Address - Country:US
Practice Address - Phone:718-230-1379
Practice Address - Fax:718-638-1628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-20
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health