Provider Demographics
NPI:1851710446
Name:FAMILY SERVICES CENTER
Entity Type:Organization
Organization Name:FAMILY SERVICES CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TERI
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-551-1610
Mailing Address - Street 1:4092 MEMORIAL PKWY SW
Mailing Address - Street 2:SUITE 205
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-4365
Mailing Address - Country:US
Mailing Address - Phone:256-551-1610
Mailing Address - Fax:256-551-0722
Practice Address - Street 1:4092 MEMORIAL PKWY SW
Practice Address - Street 2:SUITE 205
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-4365
Practice Address - Country:US
Practice Address - Phone:256-551-1610
Practice Address - Fax:256-551-0722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health