Provider Demographics
NPI:1679082408
Name:THE FEDERATION OF FAMILIES FOR CHILDREN'S MENTAL HEALTH
Entity Type:Organization
Organization Name:THE FEDERATION OF FAMILIES FOR CHILDREN'S MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:IAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:ANDERSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-831-1199
Mailing Address - Street 1:7475 W 5TH AVE STE 307
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-1675
Mailing Address - Country:US
Mailing Address - Phone:303-831-1199
Mailing Address - Fax:303-662-9005
Practice Address - Street 1:7475 W 5TH AVE STE 307
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-1675
Practice Address - Country:US
Practice Address - Phone:303-831-1199
Practice Address - Fax:303-662-9005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty