Provider Demographics
NPI:1629698303
Name:FAMILY SAFETY PROGRAM
Entity Type:Organization
Organization Name:FAMILY SAFETY PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY SAFETY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JUMPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-359-1554
Mailing Address - Street 1:PO BOX 666
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE
Mailing Address - State:NC
Mailing Address - Zip Code:28719-0666
Mailing Address - Country:US
Mailing Address - Phone:828-359-1507
Mailing Address - Fax:
Practice Address - Street 1:117 JOHN CROWE HILL RD
Practice Address - Street 2:
Practice Address - City:CHEROKEE
Practice Address - State:NC
Practice Address - Zip Code:28719
Practice Address - Country:US
Practice Address - Phone:828-359-1507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EASTERN BAND OF CHEROKEE INDIANS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-22
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency