Provider Demographics
NPI:1497281158
Name:FAMILY CHOICES CENTER
Entity Type:Organization
Organization Name:FAMILY CHOICES CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SIFONTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-876-1605
Mailing Address - Street 1:4001 W. DR. MARTIN LUTHER KING JR. BLVD.
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614
Mailing Address - Country:US
Mailing Address - Phone:813-876-1605
Mailing Address - Fax:
Practice Address - Street 1:4001 W. DR. MARTIN LUTHER KING JR. BLVD.
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614
Practice Address - Country:US
Practice Address - Phone:813-876-1605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management