Provider Demographics
NPI:1588208532
Name:FAMILY COMMUNITY SERVICES, INC.
Entity Type:Organization
Organization Name:FAMILY COMMUNITY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:FIECHTNER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:408-628-3932
Mailing Address - Street 1:1312 N MONROE ST STE 111
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-2623
Mailing Address - Country:US
Mailing Address - Phone:509-557-0684
Mailing Address - Fax:
Practice Address - Street 1:422 W RIVERSIDE AVE STE 330
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0307
Practice Address - Country:US
Practice Address - Phone:509-557-0684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-03
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health