Provider Demographics
NPI:1487002085
Name:FAMILY CONNECTIONS, INC.
Entity Type:Organization
Organization Name:FAMILY CONNECTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBRZANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-723-3423
Mailing Address - Street 1:651 COLLIERS WAY
Mailing Address - Street 2:SUITE 412
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-5053
Mailing Address - Country:US
Mailing Address - Phone:304-723-3423
Mailing Address - Fax:304-723-3426
Practice Address - Street 1:651 COLLIERS WAY
Practice Address - Street 2:SUITE 412
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-5053
Practice Address - Country:US
Practice Address - Phone:304-723-3423
Practice Address - Fax:304-723-3426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0023528001Medicaid