Provider Demographics
NPI:1285004317
Name:INSTITUTE FOR FAMILY CENTERED SERVICES
Entity Type:Organization
Organization Name:INSTITUTE FOR FAMILY CENTERED SERVICES
Other - Org Name:IFCS
Other - Org Type:Other Name
Authorized Official - Title/Position:ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-455-4679
Mailing Address - Street 1:313 CONGRESS ST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02210-1218
Mailing Address - Country:US
Mailing Address - Phone:617-190-4800
Mailing Address - Fax:
Practice Address - Street 1:18227 FLOWER HILL WAY UNIT A
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-5334
Practice Address - Country:US
Practice Address - Phone:301-724-9324
Practice Address - Fax:301-724-9326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-01
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDF03843877Medicaid