Provider Demographics
NPI:1437695640
Name:CONTEMPORARY FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:CONTEMPORARY FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:MONROE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DSW
Authorized Official - Phone:240-375-1957
Mailing Address - Street 1:3455 WILKENS AVE
Mailing Address - Street 2:SUITE 308/208
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-5213
Mailing Address - Country:US
Mailing Address - Phone:410-525-8601
Mailing Address - Fax:410-525-8602
Practice Address - Street 1:3455 WILKENS AVE
Practice Address - Street 2:SUITE 308/208
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5213
Practice Address - Country:US
Practice Address - Phone:410-525-8601
Practice Address - Fax:410-525-8602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services