Provider Demographics
NPI:1376740480
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:STATE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-455-4601
Mailing Address - Street 1:313 CONGRESS ST
Mailing Address - Street 2:FIFTH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02210-1218
Mailing Address - Country:US
Mailing Address - Phone:617-790-4800
Mailing Address - Fax:
Practice Address - Street 1:7501 FORBES BLVD STE 102
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-6201
Practice Address - Country:US
Practice Address - Phone:301-577-7931
Practice Address - Fax:301-577-7637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD590800101Medicaid