Provider Demographics
NPI:1619738556
Name:THE FAMILY FOUNDATIONS
Entity Type:Organization
Organization Name:THE FAMILY FOUNDATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BREED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-387-5463
Mailing Address - Street 1:1014 ALMA RD
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35501-8510
Mailing Address - Country:US
Mailing Address - Phone:205-387-5463
Mailing Address - Fax:
Practice Address - Street 1:1901 HIGHWAY 78 E
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501-4039
Practice Address - Country:US
Practice Address - Phone:205-387-5463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health