Provider Demographics
NPI:1659554640
Name:TFS OF GURDON INC
Entity Type:Organization
Organization Name:TFS OF GURDON INC
Other - Org Name:THERAPEUTIC FAMILY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARISSA
Authorized Official - Middle Name:K
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-945-5544
Mailing Address - Street 1:600 MAIN ST
Mailing Address - Street 2:STE V
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-4905
Mailing Address - Country:US
Mailing Address - Phone:501-321-8200
Mailing Address - Fax:501-321-8202
Practice Address - Street 1:3223 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-6344
Practice Address - Country:US
Practice Address - Phone:501-945-5544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management