Provider Demographics
NPI:1326377318
Name:METRO FAMILY SUPPORT SERVICES
Entity Type:Organization
Organization Name:METRO FAMILY SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:COLBERT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:301-395-8055
Mailing Address - Street 1:12022 BION DR
Mailing Address - Street 2:
Mailing Address - City:FT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-5105
Mailing Address - Country:US
Mailing Address - Phone:301-395-8055
Mailing Address - Fax:
Practice Address - Street 1:12022 BION DR
Practice Address - Street 2:
Practice Address - City:FT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-5105
Practice Address - Country:US
Practice Address - Phone:301-395-8055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-22
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency