Provider Demographics
NPI:1790058956
Name:FAMILY ALTERNATIVES
Entity Type:Organization
Organization Name:FAMILY ALTERNATIVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RIEBEL
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:612-746-8168
Mailing Address - Street 1:1089 10TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-1312
Mailing Address - Country:US
Mailing Address - Phone:612-376-5341
Mailing Address - Fax:612-379-5328
Practice Address - Street 1:1089 10TH AVE SE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-1312
Practice Address - Country:US
Practice Address - Phone:612-379-5341
Practice Address - Fax:612-379-5328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-20
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN800782-4-CPA253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency