Provider Demographics
NPI:1710425939
Name:CONTEMPORARY FAMILY SERVICES, INC
Entity Type:Organization
Organization Name:CONTEMPORARY FAMILY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:MONROE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DSW
Authorized Official - Phone:240-375-1957
Mailing Address - Street 1:20400 OBSERVATION DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-4085
Mailing Address - Country:US
Mailing Address - Phone:240-686-1971
Mailing Address - Fax:240-686-1972
Practice Address - Street 1:20400 OBSERVATION DR
Practice Address - Street 2:SUITE 103
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-4085
Practice Address - Country:US
Practice Address - Phone:240-686-1971
Practice Address - Fax:240-686-1972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMH-2106251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health