Provider Demographics
NPI:1710009410
Name:FAMILY AND CHILDREN'S THERAPY SERVICES, PA
Entity Type:Organization
Organization Name:FAMILY AND CHILDREN'S THERAPY SERVICES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARLANE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-436-2445
Mailing Address - Street 1:164 N 200 W
Mailing Address - Street 2:
Mailing Address - City:RUPERT
Mailing Address - State:ID
Mailing Address - Zip Code:83350-9357
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:906 S ONEIDA ST
Practice Address - Street 2:SUITE #4
Practice Address - City:RUPERT
Practice Address - State:ID
Practice Address - Zip Code:83350-8200
Practice Address - Country:US
Practice Address - Phone:208-436-2445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID#5FAMCHILD098251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services