Provider Demographics
NPI:1720229164
Name:THERAPEUTIC FAMILY SERVICES
Entity Type:Organization
Organization Name:THERAPEUTIC FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REHAB DAY TECH / CASE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELLNER
Authorized Official - Suffix:
Authorized Official - Credentials:PARA-PROFESSIONAL
Authorized Official - Phone:501-321-8200
Mailing Address - Street 1:600 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913
Mailing Address - Country:US
Mailing Address - Phone:501-321-8200
Mailing Address - Fax:501-321-8202
Practice Address - Street 1:600 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-4905
Practice Address - Country:US
Practice Address - Phone:501-321-8200
Practice Address - Fax:501-321-8202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management