Provider Demographics
NPI:1558033654
Name:STRONG FAMILIES STRONG PEOPLE, INC.
Entity Type:Organization
Organization Name:STRONG FAMILIES STRONG PEOPLE, INC.
Other - Org Name:STRONG FAMILIES STRONG PEOPLE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER/ DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:DOUGLAS
Authorized Official - Suffix:JR
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:301-733-1500
Mailing Address - Street 1:19901 ASHFIELD CT
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-6712
Mailing Address - Country:US
Mailing Address - Phone:240-354-6956
Mailing Address - Fax:301-302-7384
Practice Address - Street 1:44 N POTOMAC ST STE 103
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-3301
Practice Address - Country:US
Practice Address - Phone:301-733-1500
Practice Address - Fax:301-733-1501
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STRONG FAMILIES STRONG PEOPLE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-09-28
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD056751500Medicaid