Provider Demographics
NPI:1447588264
Name:FAMILY PRESERVATION COMMUNITY SERVICES
Entity Type:Organization
Organization Name:FAMILY PRESERVATION COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-237-5659
Mailing Address - Street 1:PO BOX 746
Mailing Address - Street 2:
Mailing Address - City:WOFFORD HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:93285-0746
Mailing Address - Country:US
Mailing Address - Phone:760-376-4100
Mailing Address - Fax:
Practice Address - Street 1:6505 WOFFORD HEIGHTS BLVD
Practice Address - Street 2:
Practice Address - City:WOFFORD HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:93285
Practice Address - Country:US
Practice Address - Phone:760-376-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health